Olsen, Lisa Jane

Olsen, Lisa Jane is an individual health care provider with primary practice located at 361 E 1200 S Ste 201 , Orem UT 84058-6904. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Olsen, Lisa Jane can be contacted via phone (801) 224-3014.

Contact Information

Primary practice address
361 E 1200 S Ste 201 Orem UT 84058-6904
Phone: (801) 224-3014
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 345768-4405 Utah
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 345768-3102 Utah

Profile Details

NPI number 1134105364
LBN Legal business name Olsen, Lisa Jane
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Dec 2nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1134105364 NPPES
Utah MEDICAID U006 107030993101
Utah MEDICAID U002 802665
Utah MEDICAID U003 666

Popular Providers