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Sara Olson-wiencek, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Gardena, California
NPI 1790400786

Sara Olson-wiencek is a Psychiatric/Mental Health Nurse Practitioner based in Los Angeles, CA and is specialized in Psychiatric/Mental Health. Sara Olson-wiencek practices in Gardena, CA and has the professional credentials of PMHNP-BC. The NPI Number for Sara Olson-wiencek is 1790400786 and holds a License No. NP95022522 (California).

The current practice location address for Sara Olson-wiencek is 1225 W 190Th St Ste 280, Gardena, CA and can be reached out via phone at 310-515-8113.

Location: 1225 W 190Th St Ste 280, Gardena, CA, 90025-1053
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790400786
Provider Name
Sara Olson-wiencek
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1225 W 190Th St Ste 280, Gardena, CA, 90025-1053
Phone Number
310-515-8113
Fax Number
Provider Enumeration Date
10/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1225 W 190Th St Ste 280
City
Gardena
State
California
Zip
90248-4305
Phone Number
310-515-8113
Fax Number
person
Provider Business Mailing Address Details
Address
1225 W 190Th St Ste 280
City
Gardena
State
California
Zip
90248-4305
Phone Number
310-515-8113
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
NP95022522 (California)
Definition
Definition to come...
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