Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC1500X | Nurse Practitioner - Community Health | 139050 | MA |
N | 363LP0200X | Nurse Practitioner - Pediatrics | 139050 | MA |
NPI | 1063540326 |
---|---|
Provider Name | Rita Olans |
First Address | Andover, MA 01810-3409 |
Second Address | Andover, MA 01810-3409 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2007 |
Last Update Date | 08/07/2007 |