Provider Demographics
NPI:1306110481
Name:OLSON, HEIDI FALTER (RN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:FALTER
Last Name:OLSON
Suffix:
Gender:F
Credentials:RN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5501 JEFFERSON ST NE
Mailing Address - Street 2:SUITE 700
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-3437
Mailing Address - Country:US
Mailing Address - Phone:505-314-2025
Mailing Address - Fax:
Practice Address - Street 1:5501 JEFFERSON ST NE
Practice Address - Street 2:SUITE 700
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-3437
Practice Address - Country:US
Practice Address - Phone:505-314-2025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-07
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNP-01915363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily