Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | R0079162 | OK |
NPI | 1053968818 |
---|---|
Provider Name | Erin Olmsted |
First Address | Oklahoma City, OK 73120-8300 |
Second Address | Oklahoma City, OK 73120-8300 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2019 |
Last Update Date | 31/03/2021 |