Healthcare Provider Details

I. General information

NPI: 1952315228
Provider Name (Legal Business Name): JOAN L OLSCHEWSKE RNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 03/09/2020
Certification Date: 03/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 1ST AVE SE
HICKORY NC
28602-3005
US

IV. Provider business mailing address

200 E 2ND AVE
GASTONIA NC
28052-4358
US

V. Phone/Fax

Practice location:
  • Phone: 828-994-4544
  • Fax:
Mailing address:
  • Phone: 704-874-1904
  • Fax: 704-864-7608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5012806
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberF332027
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: