Individual
BRADLEY JAMES OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
1630 E 2450 S UNIT 95, SAINT GEORGE, UT 84790-7060
(480) 528-0482
Mailing address
1630 E 2450 S UNIT 95, SAINT GEORGE, UT 84790-7060
(480) 528-0482
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
235004
AZ
363LF0000X
Family Nurse Practitioner
5613376-4405
UT
Other
Enumeration date
11/22/2019
Last updated
11/20/2020
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