Provider Demographics
NPI:1558395822
Name:OLSON, SHEILA A (CNP)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:A
Last Name:OLSON
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2940 N MCCORD RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-1753
Mailing Address - Country:US
Mailing Address - Phone:419-842-3000
Mailing Address - Fax:419-842-3042
Practice Address - Street 1:2940 N MCCORD RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-1753
Practice Address - Country:US
Practice Address - Phone:419-842-3000
Practice Address - Fax:419-742-3042
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704156262363L00000X
OHNP-09321363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2947619Medicaid
OHP00762662OtherRRMC
OH2947619Medicaid
OH23246Medicare PIN
OH23247Medicare PIN
OHOLNP23248Medicare PIN
OH23244Medicare PIN
OH23241Medicare PIN
OH23243Medicare PIN
OH23242Medicare PIN