MRS. TRACY M OLSEN (NPI# 1558624858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558624858 |
| Entity Type | Individual |
| Full Name | MRS. TRACY M OLSEN |
| Credential | NP |
| Practice Address |
2305 Genoa Business Park Dr Ste 200 Brighton MI 48114-7004 |
| Mailing Address |
24 Frank Lloyd Wright Dr J2000 Ann Arbor MI 48105-9484 |
| Practice Telephone | 8104946810 |
| Practice Fax Number | 8104946841 |
| Mailing Telephone | 7347476766 |
| Mailing Fax Number | 7342223100 |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2016-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704210593 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2305 GENOA BUSINESS PARK DR STE 200 |
| City | BRIGHTON |
| State | MI |
| Zip Code | 48114-7004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649273947 | Ayad A. Farjo | Ophthalmology | 2305 Genoa Business Park Dr, Suite 250, Brighton, MI 48114-7004 | 2005-05-31 |
| 1548702087 | Darlene Demeniuk | Occupational Therapist | 2305 Genoa Business Park Dr, Ste 170, Brighton, MI 48114-7004 | 2016-11-15 |
| 1780032524 | Alyssa Zantello | Physician Assistant | 2305 Genoa Business Park Dr, Suite 170, Brighton, MI 48114-7004 | 2016-06-02 |
| 1467873828 | Iha Health Services Corporation | Obstetrics & Gynecology | 2305 Genoa Business Park Dr, Suite 230, Brighton, MI 48114-7004 | 2014-01-02 |
| 1487091377 | Julie Tenckinck Sauer | Occupational Therapist | 2305 Genoa Business Park Dr, Suite 170, Brighton, MI 48114-7004 | 2013-05-31 |
| 1710225412 | Kristen Elizabeth Upton | Nurse Practitioner | 2305 Genoa Business Park Dr, Suite 240, Brighton, MI 48114-7004 | 2013-01-30 |
| 1659624591 | Dermatology & Phototherapy Center of Brighton, Plc | Dermatology | 2305 Genoa Business Park Dr, Brighton, MI 48114-7004 | 2012-10-16 |
| 1558611046 | Juliana Hagele | Physician Assistant | 2305 Genoa Business Park Dr, Suite 170, Brighton, MI 48114-7004 | 2012-09-12 |
| 1053625467 | Advanced Orthopedic Specialists PC | Non-Pharmacy Dispensing Site | 2305 Genoa Business Park Dr, Ste 170, Brighton, MI 48114-7004 | 2010-07-28 |
| 1093028540 | Nicole Marie Clement | Physical Therapist | 2305 Genoa Business Park Dr, Suite 170, Brighton, MI 48114-7004 | 2010-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386114866 | Key Development Center, Inc. | Counselor | 2060 Grand River Annex Suite 600, Brighton, MI 48114 | 2018-11-28 |
| 1205326873 | Montana Neurology Pllc | Psychiatry & Neurology | 2040 Grand River Anx Ste 200, Brighton, MI 48114 | 2018-05-18 |
| 1205370855 | Samantha Hawley | Contractor | 73 Perch Street, Brighton, MI 48114 | 2016-12-15 |
| 1164883633 | Kathryn Degrande Lankton | Family Medicine | 7575 Grand River Ste 210, Brighton, MI 48114 | 2016-03-11 |
| 1992110241 | Bryant Castelein | Podiatrist | 7990 Grand River Rd Ste D, Brighton, MI 48114 | 2014-06-25 |
| 1033544945 | Maria Kottke | Nurse Practitioner | 3222 Eden Trl, Brighton, MI 48114 | 2013-09-10 |
| 1720380462 | Kami Erin Bartholomew | Physical Therapy Assistant | 744 Grand River, Brighton, MI 48114 | 2010-12-01 |
| 1467779223 | Amy Hund | Psychologist | 10031 Spencer Rd, Brighton, MI 48114 | 2010-05-03 |
| 1851529978 | Mark Brian Mcintee | Physician Assistant | 7575 W. Grand River, Brighton, MI 48114 | 2009-06-26 |
| 1982865432 | Disha Kinra | Dentist | 7743 Grand River Ave Ste 202, Great Expressions Dental Centers, Brighton, MI 48114 | 2008-06-18 |
| Find all providers in zip 48114 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295145 | Heather Thomas | Nurse Practitioner | 39 Brock St Apt 1, Brighton, MA 02135-2661 | 2020-11-03 |
| 1912512591 | Ariel Caprice Lewis | Nurse Practitioner | 2228 Cobblestone Ln, Brighton, MI 48114-7347 | 2020-09-10 |
| 1992320212 | Caitlin Marie Hussey | Nurse Practitioner | 14 Colborne Rd Apt 5, Brighton, MA 02135-4830 | 2020-06-12 |
| 1346873197 | Destiny Lashay Woodard | Nurse Practitioner | 10070 Mcquiston Rd, Brighton, TN 38011-7004 | 2020-02-20 |
| 1013540350 | Tina Yiu | Nurse Practitioner | 42 Euston Rd, Brighton, MA 02135-4805 | 2020-02-14 |
| 1275183907 | Irina Shvets | Nurse Practitioner | 27 Glenmont Rd, Brighton, MA 02135-3145 | 2019-09-15 |
| 1366911687 | Emily Hoeft | Nurse Practitioner | 8246 Hillside Lakes Dr, Brighton, MI 48116-8297 | 2018-11-15 |
| 1073944781 | Patrice Noel | Nurse Practitioner | 11 Nevins St Ste 303, Brighton, MA 02135-3514 | 2013-12-05 |
| 1487094785 | Sara Kallio Becker | Nurse Practitioner | 191 Telluride St Unit 5, Brighton, CO 80601-4356 | 2013-07-01 |
| 1811271448 | Kathryn Grace Victor | Nurse Practitioner | 2 Sutherland Rd, Unit 33, Brighton, MA 02135-7028 | 2011-09-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.