Individual
ABAGAIL OLAVESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
920 S RISING SUN DR STE 120, NAMPA, ID 83686-6000
(208) 515-2273
(208) 515-2274
Mailing address
920 S RISING SUN DR STE 120, NAMPA, ID 83686-6000
(208) 515-2273
(208) 515-2274
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
55750
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9961773
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/18/2024
Last updated
01/16/2025
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