Individual
DIANA M OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1300 DRESDEN DR, MORRIS, IL 60450-2476
(815) 942-5200
Mailing address
725 SCHOOL ST STE A, MORRIS, IL 60450-1207
(815) 941-9124
(815) 941-4363
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209017817
IL
363LF0000X
Family Nurse Practitioner
Primary
209.017817
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209.017817
STATE LICENSE
IL
Enumeration date
07/02/2018
Last updated
11/07/2025
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