Individual
SHANNON MARIE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
410 4TH AVE NE, PINE CITY, MN 55063-1200
(320) 310-5166
Mailing address
410 4TH AVE NE, PINE CITY, MN 55063-1200
(320) 310-5166
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
11841
MN
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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