Individual
ELLEN OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 SMITH AVE N, SAINT PAUL, MN 55102-2346
(651) 220-6000
Mailing address
5148 USEPPA TRL, WOODBURY, MN 55129-5726
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2483932
MN
363LP0200X
Pediatric Nurse Practitioner
Primary
11406
MN
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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