Provider Demographics
NPI:1417286865
Name:STEEN, CARL OLSON (CDE, MBA, BSN, RN,)
Entity Type:Individual
Prefix:MR
First Name:CARL
Middle Name:OLSON
Last Name:STEEN
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Gender:M
Credentials:CDE, MBA, BSN, RN,
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Mailing Address - Street 1:15611 POMERADO RD
Mailing Address - Street 2:SUITE #400
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-2437
Mailing Address - Country:US
Mailing Address - Phone:858-675-3284
Mailing Address - Fax:858-487-3823
Practice Address - Street 1:15611 POMERADO RD
Practice Address - Street 2:SUITE #400
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2437
Practice Address - Country:US
Practice Address - Phone:858-675-3284
Practice Address - Fax:858-487-3823
Is Sole Proprietor?:No
Enumeration Date:2009-12-14
Last Update Date:2014-04-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA484279163WP2201X
CARN484279133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education