Provider Demographics
NPI:1487783452
Name:OLSZEWSKI, KIMBERLY ANN (CRNP)
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:ANN
Last Name:OLSZEWSKI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:438 S 19TH ST
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-7000
Mailing Address - Country:US
Mailing Address - Phone:570-523-7613
Mailing Address - Fax:570-523-7775
Practice Address - Street 1:130 BUFFALO RD
Practice Address - Street 2:STE 104
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-1159
Practice Address - Country:US
Practice Address - Phone:570-523-7774
Practice Address - Fax:570-523-7775
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP006415C363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health