Provider Demographics
NPI:1538388533
Name:OLSON, DEBRA (RNFA)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:OLSON
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 COVENTRY LN
Mailing Address - Street 2:
Mailing Address - City:HARWINTON
Mailing Address - State:CT
Mailing Address - Zip Code:06791-2413
Mailing Address - Country:US
Mailing Address - Phone:860-485-2761
Mailing Address - Fax:888-329-6432
Practice Address - Street 1:26 COVENTRY LN
Practice Address - Street 2:
Practice Address - City:HARWINTON
Practice Address - State:CT
Practice Address - Zip Code:06791-2413
Practice Address - Country:US
Practice Address - Phone:860-485-2761
Practice Address - Fax:888-329-6432
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTE51604163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant