Individual
MARLEAH OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
102 MEDICINE WAY RD., PERIDOT, AZ 85542-8554
(928) 475-1569
Mailing address
102 MEDICINE WAY RD., PERIDOT, AZ 85543
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN12793
AZ
Other
Enumeration date
09/12/2019
Last updated
11/27/2023
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