Individual provider · Type 1 NPI
Olen Henry, NP
Family Nurse Practitioner · Culver City, CA
NPI number
1053704668
Active
Practice location
3828 Delmas Ter
Culver City, CA 90232-2713
Fax (323) 402-0860
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 524935 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | 11003 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1053704668
Olen Henry, NP's National Provider Identifier is 1053704668, issued on Mar 7, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Culver City, CA. The record was last updated on Mar 7, 2015.