Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sandra Paula Bazan-Olson, NP

Individual provider Primary Care Nurse Practitioner · NPI 1083864136

Sandra Paula Bazan-Olson, NP is a Nurse Practitioner in Tucson, Arizona. Qualified in 2023, 3 years ago. Practices with Active Vital Care LLC, a 19-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2008
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

701 W Wetmore Rd Rm 168 Amphitheater Public Schools
Tucson, AZ 85705-1547
Phone: (520) 696-5237
Fax: (520) 696-5067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 303932 (AZ)
School Registered Nurse Taxonomy 163WS0200X · Licence RN128955 (AZ)

Record details

NPI number1083864136
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 25, 2008
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Active Vital Care Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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