Provider Demographics
NPI:1457657447
Name:OLSEN, TRINA V (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:TRINA
Middle Name:V
Last Name:OLSEN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7335 NW WILSON RD
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66618-2000
Mailing Address - Country:US
Mailing Address - Phone:785-246-1848
Mailing Address - Fax:
Practice Address - Street 1:7335 NW WILSON RD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66618-2000
Practice Address - Country:US
Practice Address - Phone:785-246-1848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-08
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS142364367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered