BRADLEY JAMES OLSEN (NPI# 1750927927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750927927 |
| Entity Type | Individual |
| Full Name | BRADLEY JAMES OLSEN |
| Credential | DNP |
| Practice Address |
1630 E 2450 S Unit 95 Saint George UT 84790-7060 |
| Practice Telephone | 4805280482 |
| Mailing Telephone | 4805280482 |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2020-06-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
5613376-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
235004 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1157 S Crismon Rd Ste 101, Mesa, AZ 852082661 | 4808275730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598382939 | Bradley C Olsen | Pharmacist | 800 Grand Ave, Spencer, IA 51301 | 2020-07-01 |
| Street Address |
1630 E 2450 S UNIT 95 |
| City | SAINT GEORGE |
| State | UT |
| Zip Code | 84790-7060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| Find all providers in zip 84790 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396238630 | Kristy Leany | Nurse Practitioner | 1380 South Medical Center Dr Ste 1500, Saint George, UT 84790 | 2018-06-12 |
| 1376044297 | Anna J'nett Miller | Nurse Practitioner | 1173 S 250 W Ste 102, Saint George, UT 84770-6394 | 2018-02-26 |
| 1093226938 | Christopher George Lamb | Nurse Practitioner | 640 E 700 S Ste 105, Saint George, UT 84770-7094 | 2017-10-18 |
| 1629310222 | Neeta Vyas | Nurse Practitioner | 652 S. Medical Center Drive Suite 320, Saint George, UT 84790-4048 | 2013-03-21 |
| 1235473307 | Travis B Brinkerhoff | Nurse Practitioner | 1380 E Medical Center Dr Ste 2600, Saint George, UT 84790 | 2012-11-15 |
| 1164036265 | Raquel Wall | Nurse Practitioner | 1490 E Foremaster Dr Ste 320, Saint George, UT 84790-4505 | 2020-09-04 |
| 1730799214 | Christopher G Rogers | Nurse Practitioner | 2306 E 3860 S, Saint George, UT 84790-5025 | 2020-08-09 |
| 1801438684 | Kami Stevens | Nurse Practitioner | 1490 E Foremaster Dr Ste 220, Saint George, UT 84790-4498 | 2019-10-12 |
| 1861041618 | Tamarah Lynn Hinkle | Nurse Practitioner | 595 S Bluff St Ste 6, Saint George, UT 84770-3593 | 2019-09-04 |
| 1265080154 | Codie Bingham | Nurse Practitioner | 640 E 700 S Ste 105, Saint George, UT 84770-7094 | 2019-09-03 |
| Find all providers in SAINT GEORGE | ||||
| City | SAINT GEORGE |
| Zip Code | 84790 |
Please comment or provide details below to improve the information on BRADLEY JAMES OLSEN.
| 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.