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Individual

KRISTIN J OLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFNP

Contact information

Practice address
204 LEWIS AVE S, SUITE 200, WATERTOWN, MN 55388-4500
(952) 955-1963
(952) 955-1965
Mailing address
204 LEWIS AVE S, WATERTOWN, MN 55388-4500
(952) 955-1963

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3202
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
266948000
MN
Enumeration date
11/30/2005
Last updated
01/02/2019
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