IndividualActive
Alexander Olson, PMHNP-BC
NPI 1649021569 · Psychiatric/Mental Health Nurse Practitioner · Portage, IN
Provider details
- NPI number
- 1649021569
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP-BC
- Sex
- Male
- Sole proprietor
- No
- License
- 71014973A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6050 Sterling Creek Rd
Portage, IN 46368-7752
Phone: (219) 763-8112
Approximate (ZIP-level) locationGet directions
Mailing address
6050 Sterling Creek Rd
Portage, IN 46368-7752
Registry dates
- Enumerated
- 2024-03-28
- Last updated
- 2024-03-28
- Certified
- 2024-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.