Provider Demographics
NPI:1306736129
Name:OLSON, PAIGE TAYLOR
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:TAYLOR
Last Name:OLSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 APPIAN WAY UNIT 714-13
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-5573
Mailing Address - Country:US
Mailing Address - Phone:415-613-0743
Mailing Address - Fax:
Practice Address - Street 1:8210 S BRIGHT RD
Practice Address - Street 2:
Practice Address - City:FRENCH CAMP
Practice Address - State:CA
Practice Address - Zip Code:95231-9759
Practice Address - Country:US
Practice Address - Phone:925-409-7925
Practice Address - Fax:925-409-7925
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist