Individual
OLIVIA XENIA MAE SOGNESAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-2568
(855) 903-0985
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2023048380
MO
367500000X
Certified Registered Nurse Anesthetist
RN2371339
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110193095A
—
MA
01
—
RN2371339
DIVISION OF PROFESSIONAL LICENSURE
MA
Enumeration date
09/01/2022
Last updated
12/13/2023
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