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NPI Code Detail

MEDICARE: DENA MARIE OLSON RN

MEDICARE: DENA MARIE 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
11710I1003XIndependent Duty Medical Technicians
2163W00000XRegistered Nurse2018033289MO

General Provider Information

NPI Number : 1801132220
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENA MARIE OLSON RN
Provider Business Mailing Address
First Line : 508 FULTON ST
Second Line :
City : DURHAM
State : NC
Zip : 27705-3875
Country : US
Telephone Number : 919-286-0411
Fax Number : 919-416-5857
Provider Business Practice Location Address
First Line : 508 FULTON ST
Second Line :
City : DURHAM
State : NC
Zip : 27705-3875
Country : US
Telephone Number : 919-286-0411
Fax Number : 919-416-5857
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2012
Last Update Date : 01/09/2026

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