Individual
S SOPHIA OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1055 N 300 W STE 101, PROVO, UT 84604-3381
(801) 852-3460
Mailing address
3550 N UNIVERSITY AVE STE 250, PROVO, UT 84604-6695
(801) 374-9625
(801) 374-9690
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
5497011-3102
UT
363L00000X
Nurse Practitioner
Primary
5497011-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689283699
—
UT
Enumeration date
07/26/2020
Last updated
05/01/2026
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