Individual
CARLY JANE OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
2211 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-7505
(612) 330-1388
Mailing address
2424 TERRITORIAL RD APT 205, SAINT PAUL, MN 55114-1580
(608) 228-8006
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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