Individual
ELAINE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 W OLD KEY DR STE 150, PERU, IN 46970-9001
(765) 430-7507
(765) 475-2839
Mailing address
315 W OLD KEY DR STE 150, PERU, IN 46970-9001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71013636A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71013636A
INDIANA NURSING BOARD
IN
Enumeration date
02/28/2023
Last updated
03/29/2023
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