Individual provider · Type 1 NPI
Tiffany Olsen
Pediatric Nurse Practitioner · Salt Lake City, UT
NPI number
1124860036
Active
Practice location
10 S 2000 E
Salt Lake City, UT 84112-5880
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 1216062 (TX) |
| Registered Nurse | 163W00000X | 9408923-3102 (UT) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1124860036
Tiffany Olsen's National Provider Identifier is 1124860036, issued on Jun 11, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Salt Lake City, UT. The record was last updated on Oct 27, 2025.