Individual
MADELINE CAREY OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 BROADWAY ST, MOUNT VERNON, IL 62864-2341
(618) 244-2777
Mailing address
3200 ELDERBERRY LN, SPRINGFIELD, IL 62711-8248
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209029780
IL
390200000X
Student in an Organized Health Care Education/Training Program
390200000X
—
Other
Enumeration date
06/14/2023
Last updated
07/16/2024
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