Provider Demographics
NPI:1912254780
Name:OLSEN, CANDACE R (RN,BSN)
Entity Type:Individual
Prefix:MRS
First Name:CANDACE
Middle Name:R
Last Name:OLSEN
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Gender:F
Credentials:RN,BSN
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Mailing Address - Street 1:222 PIEDMONT AVE
Mailing Address - Street 2:SUITE 5200
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219-4231
Mailing Address - Country:US
Mailing Address - Phone:513-475-8400
Mailing Address - Fax:513-475-8228
Practice Address - Street 1:7700 UNIVERSITY COURT
Practice Address - Street 2:SUITE 3900
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-6558
Practice Address - Country:US
Practice Address - Phone:513-475-8400
Practice Address - Fax:513-475-8228
Is Sole Proprietor?:No
Enumeration Date:2012-08-10
Last Update Date:2012-08-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OHRN-316550207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy