Provider Demographics
NPI:1750555710
Name:OLSEN, ERIN HOLCOMBE (PA)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:HOLCOMBE
Last Name:OLSEN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:397 WALLACE RD STE 414
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-8010
Mailing Address - Country:US
Mailing Address - Phone:615-333-0851
Mailing Address - Fax:615-333-0852
Practice Address - Street 1:397 WALLACE RD STE 414
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-8010
Practice Address - Country:US
Practice Address - Phone:615-333-0851
Practice Address - Fax:615-333-0852
Is Sole Proprietor?:No
Enumeration Date:2008-04-21
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3665226Medicaid
TNP00480723Medicare PIN
TN3665226Medicare PIN