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NPI Code Detail

MEDICARE: MEGAN OLSON

MEDICARE: MEGAN OLSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerCOA.17607-NPOH

General Provider Information

NPI Number : 1235515180
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN OLSON
Provider Business Mailing Address
First Line : 781 YALE DR
Second Line :
City : MANSFIELD
State : OH
Zip : 44907-1924
Country : US
Telephone Number : 419-512-3151
Fax Number :
Provider Business Practice Location Address
First Line : 750 E LONG ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43203-1846
Country : US
Telephone Number : 614-340-6700
Fax Number : 833-222-8164
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2015
Last Update Date : 11/03/2022

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