Individual
OLENA PROTSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1505 W SHERMAN AVE, VINELAND, NJ 08360-6912
(856) 641-7859
(856) 641-7671
Mailing address
PO BOX 650782, DALLAS, TX 75265-0782
(888) 709-4485
(302) 733-0854
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR15051900
NJ
163W00000X
Registered Nurse
RN573779
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00413900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
092405
AANA ID#
—
Enumeration date
11/26/2012
Last updated
01/14/2013
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