Olson, Tina M

Olson, Tina M is an individual health care provider with primary practice located at 101 Nicolls Rd , Stony Brook NY 11794-0001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Olson, Tina M can be contacted via phone (631) 444-4680.

Contact Information

Primary practice address
101 Nicolls Rd Stony Brook NY 11794-0001
Phone: (631) 444-4680
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F344921 New York
Nursing Service Providers / Registered Nurse 163W00000X 619164-1 New York

Profile Details

NPI number 1700117686
LBN Legal business name Olson, Tina M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2010
Last updated Apr 20th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700117686 NPPES
New York MEDICAID 619164-1

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