Traci B Olsen-lujan, APRN/FNP-BC | |
4376 S 700 E Ste 200, Salt Lake City, UT 84107-3077 | |
(385) 272-4292 | |
(866) 855-3582 |
Full Name | Traci B Olsen-lujan |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 4376 S 700 E Ste 200, Salt Lake City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326519018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 373543-4405 (Utah) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 373543-4405 (Utah) | Primary |
Entity Name | On Call Doc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598005340 PECOS PAC ID: 4688812985 Enrollment ID: O20130528000594 |
Entity Name | Lotus Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992167118 PECOS PAC ID: 4284923491 Enrollment ID: O20160511001262 |
Mailing Address | Practice Location Address |
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Traci B Olsen-lujan, APRN/FNP-BC 691 E Wyandotte Ave, Sandy, UT 84070-3564 Ph: (801) 448-4654 | Traci B Olsen-lujan, APRN/FNP-BC 4376 S 700 E Ste 200, Salt Lake City, UT 84107-3077 Ph: (385) 272-4292 |
Mrs. Lisa Ann Runyon, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Trauma Services, Salt Lake City, UT 84113 Phone: 801-662-2993 Fax: 801-662-2999 | |
Donna M. Wahoff-stice, APRN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 Arapeen Dr, 100, Salt Lake City, UT 84108 Phone: 801-581-7761 | |
Linda M Lambert, A.P.R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000 | |
Ms. Ann A. K. Kamp, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000 Fax: 801-662-4166 | |
Sarah Zobell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-1619 | |
Mrs. Giovana Martendal King, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-4100 | |
Alicia Donaldson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-1000 |