Provider Demographics
NPI:1891095311
Name:OLFSON, KRISTINA HELENE (FNP)
Entity Type:Individual
Prefix:MS
First Name:KRISTINA
Middle Name:HELENE
Last Name:OLFSON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:KRISTINA
Other - Middle Name:HELENE
Other - Last Name:OLFSON-BAUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1167 CHAPARRAL RD
Mailing Address - Street 2:
Mailing Address - City:PEBBLE BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:93953-3146
Mailing Address - Country:US
Mailing Address - Phone:831-915-4924
Mailing Address - Fax:
Practice Address - Street 1:23795 WR HOLMAN HWY
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5903
Practice Address - Country:US
Practice Address - Phone:831-915-4924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-31
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19203363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily