Individual
MS. SANDRA ANN OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
309 WEST BUTLER ROAD, MAULDIN, SC 29662-2531
(864) 297-1575
(864) 297-6256
Mailing address
800 PELHAM ROAD, GREENVILLE, SC 29615-3300
(864) 234-5800
(864) 234-5881
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APN2679
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0902
—
SC
Enumeration date
01/26/2006
Last updated
05/02/2016
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