Individual
SAMUEL JOSEPH OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-APRN
Contact information
Practice address
2673 RUSH RD, NORTON, OH 44203-4963
(330) 414-9653
Mailing address
2673 RUSH RD, NORTON, OH 44203-4963
(330) 414-9653
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0036895
OH
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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