Individual
MARY E OLHAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
575 N SIOUX POINT RD, DAKOTA DUNES, SD 57049-5312
(605) 217-2667
(605) 217-2900
Mailing address
575 N SIOUX POINT RD, DAKOTA DUNES, SD 57049-5312
(605) 217-2667
(605) 217-2900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
106001
IA
363LF0000X
Family Nurse Practitioner
A-106001
IA
363LF0000X
Family Nurse Practitioner
Primary
CP000673
SD
Other
Enumeration date
08/22/2011
Last updated
10/25/2011
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