Individual
PENNI OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1330 S POTOMAC ST, AURORA, CO 80012-4527
(303) 283-5990
Mailing address
10524 RUTLEDGE ST, PARKER, CO 80134-3784
(303) 913-2112
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN0333128
CO
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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