Heidi Amanda Olsen
Technician, Attendant Care Provider in Princeton, IL. Individual provider (NPI-1).
NPI number1942072467
StatusActive
Last updated in NPPESOct 27, 2023
Details
- NPI
- 1942072467
- Entity type
- Individual (NPI-1)
- Name
- Heidi Amanda Olsen
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 27, 2023
- Certification date
- Oct 27, 2023
- Last updated
- Oct 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
21 N Cherry StPrinceton, IL 61356-1521
Phone 815-876-7360
Mailing address
21 N Cherry StPrinceton, IL 61356-1521
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