Individual
MRS. DENISE MARIE OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
W6711 HIGHWAY 33, JUNEAU, WI 53039-9305
(920) 356-0388
Mailing address
W6711 HIGHWAY 33, JUNEAU, WI 53039-9305
(920) 356-0388
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
29536-031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39946300
—
WI
Enumeration date
10/19/2007
Last updated
10/19/2007
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