Provider Demographics
NPI:1003461146
Name:KRAMPEN, OLIVIA (DNP, MSN, APRN, FNPC)
Entity Type:Individual
Prefix:DR
First Name:OLIVIA
Middle Name:
Last Name:KRAMPEN
Suffix:
Gender:F
Credentials:DNP, MSN, APRN, FNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 MAINE ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-1360
Mailing Address - Country:US
Mailing Address - Phone:785-505-2988
Mailing Address - Fax:
Practice Address - Street 1:3211 S IOWA ST STE 100
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66046-5238
Practice Address - Country:US
Practice Address - Phone:785-505-5475
Practice Address - Fax:785-505-5326
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-06
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95015958363L00000X
CT8880363L00000X
MDR237998363L00000X
KS80828363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS30004869580001Medicaid