Individual
DR. GRACE JOHNA OLSHEFSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
400 E 2ND ST, BLOOMSBURG, PA 17815-1399
(570) 389-4451
Mailing address
400 E 2ND ST, BLOOMSBURG, PA 17815-1301
(570) 389-4929
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP020655
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP020655
STATE BOARD OF NURSINE
PA
Enumeration date
08/12/2019
Last updated
02/12/2021
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