GLENNA J OLSON (NPI# 1588668024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588668024 |
| Entity Type | Individual |
| Full Name | GLENNA J OLSON |
| Credential | PA |
| Practice Address |
1330 N Superior Ave Tomah WI 54660-1130 |
| Mailing Address |
1836 South Ave La Crosse WI 54601-5429 |
| Practice Telephone | 6083724111 |
| Mailing Telephone | 6087827300 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2016-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
840 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42956500 | 05 |
| Street Address |
1330 N SUPERIOR AVE |
| City | TOMAH |
| State | WI |
| Zip Code | 54660-1130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619435948 | Rachel Ann Robarge | Nurse Practitioner | 1330 N Superior Ave, Tomah, WI 54660-1130 | 2019-03-05 |
| 1508376468 | Emily Ann Rodriguez | Registered Nurse | 1330 N Superior Ave, Tomah, WI 54660-1130 | 2017-10-05 |
| 1831586239 | Brent Allen Fuerbringer | Podiatrist | 1330 N Superior Ave, Tomah, WI 54660 | 2015-04-23 |
| 1538555073 | Peter J Hordyk | Podiatrist | 1330 N Superior Ave, Tomah, WI 54660 | 2015-04-10 |
| 1386053429 | Amy Marie Atherton | Optometrist | 1330 N Superior Ave, Tomah, WI 54660-1130 | 2014-08-02 |
| 1861793028 | Timothy O Minus | Surgery | 1330 N Superior Ave, Tomah, WI 54660-1130 | 2010-11-04 |
| 1396066387 | Robert Anthony Holness | Obstetrics & Gynecology | 1330 N Superior Ave, Tomah, WI 54660-1130 | 2010-06-14 |
| 1811215734 | Kimberly A Tate | Nurse Practitioner | 1330 N Superior Ave, Tomah, WI 54660-1130 | 2010-05-17 |
| 1053561852 | Bradley Duane Maurhoff | Physician Assistant | 1330 N Superior Ave, Tomah, WI 54660-1130 | 2008-09-29 |
| 1366608176 | Iram Minus | Family Medicine | 1330 N Superior Ave, Tomah, WI 54660-1130 | 2008-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255786281 | Jean Hinrichsen | Nurse Practitioner | 500 E Veterans Administration, Tomah, WI 54660 | 2016-04-27 |
| 1871994418 | Jennifer Annette Aeling | Psychologist | 500 E Veterans Street, Mh Admin, Tomah, WI 54660 | 2014-09-15 |
| 1003182346 | James Arthur Hennes | Psychiatric Unit | 515 Veterans St., Tomah, WI 54660 | 2012-03-30 |
| 1619114931 | Saint-mark Enterprises 1798 LLC | Durable Medical Equipment & Medical Supplies | 300 Superior Avenue, Tomah, WI 54660 | 2009-01-08 |
| 1629259163 | Mark Frederick Mueller | Counselor | 324 Butts Avenue, Tomah, WI 54660 | 2007-11-26 |
| 1073713293 | Sheetal Reddy Marri | Psychiatry & Neurology | 5000 Veterans St., Tomah, WI 54660 | 2007-07-25 |
| 1528144946 | Kevin Albert Stagman | Optometrist | 222 West Mccoy Blvd, Tomah, WI 54660 | 2006-10-27 |
| 1346320058 | Eugenia S Durst | Nurse Practitioner | 500 East Veterans St, Tomah, WI 54660 | 2006-10-17 |
| 1962596536 | Angela Kay Fuller | Nurse Practitioner | 321 Butts Ave., Tomah Memorial Hospital, Tomah, WI 54660 | 2006-10-03 |
| 1285737767 | James John Blado | Dentist | 1116 Superior Ave, Superior Suites, Tomah, WI 54660 | 2006-09-07 |
| Find all providers in zip 54660 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053561852 | Bradley Duane Maurhoff | Physician Assistant | 1330 N Superior Ave, Tomah, WI 54660-1130 | 2008-09-29 |
| 1881863157 | Wanda M Novak | Physician Assistant | 500 E Veterans St, Tomah, WI 54660-3105 | 2008-02-20 |
| 1386734788 | Daniel John Koperski | Physician Assistant | 500 E Veterans St, Tomah, WI 54660-3105 | 2006-10-14 |
| 1740379478 | Robert Gary Sewell | Physician Assistant | 500 E Veterans St, Tomah, WI 54660-3105 | 2006-10-12 |
| 1669577623 | Va Tomah | Physician Assistant | 500 E Veterans St, Tomah, WI 54660-3105 | 2006-09-14 |
| 1578678470 | Roderick Michael Hyde | Physician Assistant | 500 E Veterans St, Tomah, WI 54660-3105 | 2006-08-20 |
| 1538191457 | Laura Martin | Physician Assistant | 500 E Veterans St, Tomah, WI 54660-3105 | 2006-07-07 |
| 1871520668 | Stephen John Haugen | Physician Assistant | 500 E Veterans St, Tomah, WI 54660-3105 | 2006-06-27 |
| 1932104478 | Nancy A Heerens-knudson | Physician Assistant | 1330 N Superior Ave, Tomah, WI 54660-1130 | 2005-06-20 |
| 1245235662 | Jane E Weiss | Physician Assistant | 325 Butts Ave, Tomah, WI 54660-1412 | 2005-06-14 |
| Find all providers in TOMAH | ||||
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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.