Individual provider · Type 1 NPI
Tina M. Olson, FNP
Family Nurse Practitioner · Stony Brook, NY
NPI number
1700117686
Active
Practice location
101 Nicolls Rd
Stony Brook, NY 11794-0001
Mailing address
61 Piedmont Dr Apt 214B
Port Jefferson Station, NY 11776-1127
Other practice locations
- 61 Piedmont Dr Apt 214B, Port Jefferson Station, NY 11776 · (631) 745-3339
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F344921 (NY) |
| Registered Nurse | 163W00000X | 619164-1 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1700117686
Tina M. Olson, FNP's National Provider Identifier is 1700117686, issued on Jan 16, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Stony Brook, NY. The record was last updated on Apr 20, 2022.