Individual
HEIDI M OLSON-FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1800 21ST AVE S, FARGO, ND 58103-5759
(701) 365-8700
(701) 365-8701
Mailing address
PO BOX 3363, OMAHA, NE 68103-0363
(701) 356-5503
(701) 364-9781
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9250
MN
363A00000X
Physician Assistant
Primary
PAC0178
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0118265
MEDICA #
ND
01
—
0118267
MEDICA #
ND
01
—
0118270
MEDICA #
ND
01
—
07Q72OL
MNBS #
ND
01
—
137064
UCARE #
ND
05
—
1528094943
—
MN
01
—
24553
NDBS #
ND
01
—
45G88OL
MNBS #
ND
01
—
73A60OL
MNBS #
ND
05
—
752287800
—
ND
01
—
838S6OL
MNBS #
MN
01
—
975263
AMERICA'S PPO/ARAZ #
ND
01
—
DA9011015571
PREFERRED ONE #
ND
01
—
HP25814
HEALTHPARTNERS #
ND
Enumeration date
06/25/2006
Last updated
07/25/2025
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