Provider Demographics
NPI:1447802970
Name:OLSEN, DEANA LYNN (APRN FNP-C)
Entity type:Individual
Prefix:
First Name:DEANA
Middle Name:LYNN
Last Name:OLSEN
Suffix:
Gender:F
Credentials:APRN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 N THOMPSON ST
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77301-2541
Mailing Address - Country:US
Mailing Address - Phone:832-957-6200
Mailing Address - Fax:281-895-3083
Practice Address - Street 1:521 N THOMPSON ST
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-2541
Practice Address - Country:US
Practice Address - Phone:832-957-6200
Practice Address - Fax:281-895-3083
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-15
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142229363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP142229OtherTEXAS BOARD OF NURSING