Individual
MS. SUSAN KAY OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP/PAC
Contact information
Practice address
455 KANSAS AVE SE, HURON, SD 57350-2522
(605) 352-8767
(605) 352-8784
Mailing address
PO BOX 1411, HURON, SD 57350-1411
(605) 352-8767
(605) 352-8784
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0625
SD
363L00000X
Nurse Practitioner
Primary
CP000049
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4994028
WELLMARK
SD
05
—
6821605
—
SD
01
—
9237905
DAKOTACARE
SD
01
—
P00331087
RAILROAD MEDICARE
SD
Enumeration date
05/27/2005
Last updated
11/03/2009
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