Provider Demographics
NPI:1669511911
Name:OLSEN, ALISON QUEEN (PA)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:QUEEN
Last Name:OLSEN
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Gender:F
Credentials:PA
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Mailing Address - Street 1:390 PRINCETON AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07305-4733
Mailing Address - Country:US
Mailing Address - Phone:603-663-8727
Mailing Address - Fax:603-663-7376
Practice Address - Street 1:195 MCGREGOR ST
Practice Address - Street 2:SUITE312
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-3748
Practice Address - Country:US
Practice Address - Phone:603-663-8727
Practice Address - Fax:603-663-7376
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2020-11-02
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Provider Licenses
StateLicense IDTaxonomies
NY010649-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant