Individual
KIMBERLY N OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 CIVIC CENTER BLVD, WEST PAVILION 4TH FLOOR, SUITE 4-900 W, PHILADELPHIA, PA 19104-5127
(215) 662-2300
Mailing address
3400 CIVIC CENTER BLVD, WEST PAVILION 4TH FLOOR, SUITE 4-900 W, PHILADELPHIA, PA 19104-5127
(215) 662-2300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP013616
PA
Other
Enumeration date
09/14/2012
Last updated
02/12/2014
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