Provider Demographics
NPI:1669357307
Name:BARTELSON, OLIVIA K
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:K
Last Name:BARTELSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3646 S 69TH PLZ APT 12
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-4120
Mailing Address - Country:US
Mailing Address - Phone:402-237-6829
Mailing Address - Fax:
Practice Address - Street 1:3646 S 69TH PLZ APT 12
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-4120
Practice Address - Country:US
Practice Address - Phone:402-237-6829
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant