Most Relevant Information
Provider Data
| NPI Number: | 1003599457 |
| Provider Name: | OLENA IRVIN CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 0034636 |
Most Important Dates
| Enumeration Date: | 08/11/2023 |
| Last Updated: | 08/11/2023 |
Provider Practice Location
375 N LEXINGTON SPRINGMILL RD
ONTARIO
OH
449063812
Practice Location Phone/Fax
| Phone: | 4195280047 |
| Fax: |
Provider Mailing Location
PO BOX 235
LUCAS
OH
448430235
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |