Provider Demographics
NPI:1730804279
Name:OLNEY, GRACE ANN (HCA)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:ANN
Last Name:OLNEY
Suffix:
Gender:F
Credentials:HCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4743 GALLUP CT SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98513-9209
Mailing Address - Country:US
Mailing Address - Phone:360-481-9299
Mailing Address - Fax:
Practice Address - Street 1:4743 GALLUP CT SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98513-9209
Practice Address - Country:US
Practice Address - Phone:360-481-9299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-06
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider