MEDICARE: DR. ANNABELLA MAURERA OLSON DO

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
1	390200000X	Student in an Organized Health Care Education/Training Program		CO
2	2086S0129X	Vascular Surgery Physician	DR.0063091	CO

General Provider Information

NPI Number	:	1295230324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNABELLA MAURERA OLSON DO

Provider Business Mailing Address
First Line	:	2500 ROCKY MOUNTAIN AVE STE 340
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-9004
Country	:	US
Telephone Number	:	970-221-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 ROCKY MOUNTAIN AVE STE 340
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-9004
Country	:	US
Telephone Number	:	970-221-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2018
Last Update Date	:	03/03/2026

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