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NPI Code Detail

MEDICARE: FAYE J OLSON RN

MEDICARE: FAYE J OLSON RN
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
1171M00000XCase Manager/Care Coordinator
2163WP0808XPsychiatric/Mental Health Registered NurseRN. 162564OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1162564OTHEROHLICENSE

General Provider Information

NPI Number : 1376759670
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAYE J OLSON RN
Provider Business Mailing Address
First Line : 204 2ND ST NE
Second Line :
City : NEW PHILADELPHIA
State : OH
Zip : 44663-2808
Country : US
Telephone Number : 234-801-2469
Fax Number : 330-364-9212
Provider Business Practice Location Address
First Line : 204 2ND ST NE
Second Line :
City : NEW PHILADELPHIA
State : OH
Zip : 44663-2808
Country : US
Telephone Number : 234-801-2469
Fax Number : 330-364-9212
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 02/13/2020

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