Provider Demographics
NPI:1407455157
Name:OLSON, FAITH EMMA (FNP)
Entity Type:Individual
Prefix:
First Name:FAITH
Middle Name:EMMA
Last Name:OLSON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 WINDING RIVER DR UNIT C1
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80023-6545
Mailing Address - Country:US
Mailing Address - Phone:172-745-2781
Mailing Address - Fax:
Practice Address - Street 1:2550 WINDING RIVER DR UNIT C1
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80023-6545
Practice Address - Country:US
Practice Address - Phone:727-745-2781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-23
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0995633-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty