Individual
MOLLY M OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
4671 38TH ST S, FARGO, ND 58104-7866
(701) 404-5100
Mailing address
1803 16TH ST S, MOORHEAD, MN 56560-5804
(218) 252-2134
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R43825
ND
363LA2200X
Adult Health Nurse Practitioner
Primary
8066
MN
Other
Enumeration date
01/19/2021
Last updated
11/23/2022
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