Individual
JEFFREY E OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-8000
(701) 364-8078
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
R163138-4
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
R30432
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16866
—
ND
05
—
1770757221
—
MN
Enumeration date
04/16/2008
Last updated
10/30/2012
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