Individual
MR. GRANT OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
25501 CHAGRIN BLVD STE 200, BEACHWOOD, OH 44122-5603
(844) 746-8537
(216) 450-1810
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 626-6161
(419) 502-3511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0027721
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.0027721
OH
Other
Enumeration date
12/01/2020
Last updated
12/11/2020
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