Individual provider · Type 1 NPI
Youngsook Theresa Olsson, NP
Adult Health Nurse Practitioner · Indianapolis, IN
NPI number
1083773634
Active
Practice location
1701 N Senate Blvd, Rm Ag 001
Indianapolis, IN 46202-1239
Fax (317) 962-8652
Mailing address
950 N Meridian St, Ste 500 Provider Enrollment
Indianapolis, IN 46204-3908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 71008140 (IN) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1083773634
Youngsook Theresa Olsson, NP's National Provider Identifier is 1083773634, issued on Dec 8, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Indianapolis, IN. The record was last updated on Mar 31, 2011.