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NPI Code Detail

MEDICARE: LISA ANN OLSON APNP-BC

MEDICARE: LISA ANN OLSON APNP-BC
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
1163W00000XRegistered Nurse130377-030WI
2363LA2200XAdult Health Nurse Practitioner4803-33WI

General Provider Information

NPI Number : 1871515122
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA ANN OLSON APNP-BC
Provider Business Mailing Address
First Line : 1617 SHERMAN AVE
Second Line :
City : MADISON
State : WI
Zip : 53704-5930
Country : US
Telephone Number : 608-240-0035
Fax Number :
Provider Business Practice Location Address
First Line : 1617 SHERMAN AVE
Second Line :
City : MADISON
State : WI
Zip : 53704-5930
Country : US
Telephone Number : 608-240-0035
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 08/23/2020

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Directions to “ LISA ANN OLSON APNP-BC” Practice Location

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