Individual
MRS. CAROL ANN OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
14001 RIDGEDALE DR, STE 200, MINNETONKA, MN 55305-1753
(952) 249-2000
(952) 249-2099
Mailing address
14001 RIDGEDALE DR, STE 200, MINNETONKA, MN 55305-1753
(952) 249-2000
(952) 249-2099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R064776
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203315100
—
MN
Enumeration date
04/16/2007
Last updated
04/30/2008
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