Individual provider · Type 1 NPI

Stacey Olsen, ARNP

Pediatric Nurse Practitioner · Lithia, FL

NPI number 1649777939 Active

Practice location

16301 Fishhawk Blvd Ste 101
Lithia, FL 33547-4157

Mailing address

6524 Bridgecrest Dr
Lithia, FL 33547-4863

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X9430789 (FL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1649777939

Stacey Olsen, ARNP's National Provider Identifier is 1649777939, issued on Apr 12, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Lithia, FL. The record was last updated on Apr 12, 2018.