Provider Demographics
NPI:1285752477
Name:OLSEN, CHRISTIE LEE (FOUNDER-NURSE PRACTI)
Entity type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:LEE
Last Name:OLSEN
Suffix:
Gender:F
Credentials:FOUNDER-NURSE PRACTI
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:313 PRICE PLACE
Mailing Address - Street 2:#108
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705
Mailing Address - Country:US
Mailing Address - Phone:608-217-7511
Mailing Address - Fax:608-234-5994
Practice Address - Street 1:313 PRICE PLACE
Practice Address - Street 2:#108
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705
Practice Address - Country:US
Practice Address - Phone:608-217-7511
Practice Address - Fax:608-234-5994
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI140915-030163W00000X
WI2162-033363LX0001X
WI33-2162363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No163W00000XNursing Service ProvidersRegistered Nurse