Provider Demographics
NPI:1326304536
Name:OLSON, MARILEE (APN)
Entity Type:Individual
Prefix:MRS
First Name:MARILEE
Middle Name:
Last Name:OLSON
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 BANK ST
Mailing Address - Street 2:STE 160
Mailing Address - City:CAPE MAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08204-1488
Mailing Address - Country:US
Mailing Address - Phone:609-886-8899
Mailing Address - Fax:
Practice Address - Street 1:4 WILLOW DR
Practice Address - Street 2:
Practice Address - City:RIO GRANDE
Practice Address - State:NJ
Practice Address - Zip Code:08242-1914
Practice Address - Country:US
Practice Address - Phone:609-886-8899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-02
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00370700363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily