Provider Demographics
NPI:1801866959
Name:OLSON, CHRISTINE M (RN CN/P)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:M
Last Name:OLSON
Suffix:
Gender:F
Credentials:RN CN/P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:20 9TH ST SE
Mailing Address - Street 2:CENTRACARE HEALTH SYSTEM - LONG PRAIRIE
Mailing Address - City:LONG PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:56347-1404
Mailing Address - Country:US
Mailing Address - Phone:320-732-2141
Mailing Address - Fax:320-732-6913
Practice Address - Street 1:20 9TH ST SE
Practice Address - Street 2:CENTRACARE HEALTH SYSTEM - LONG PRAIRIE
Practice Address - City:LONG PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:56347-1404
Practice Address - Country:US
Practice Address - Phone:320-732-2141
Practice Address - Fax:320-732-6913
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MNR135593-2363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNHP33256OtherHEALTH PARTNERS
MN44F42OLOtherBLUE SHIELD
MNA017OtherCHAMPUS
MN0106754OtherMEDICA
MN1149740OtherAMERICA'S PPO
MN814647100Medicaid
MN1027460OtherPREFERRED ONE
MN151712D277OtherUCARE
MN44F42OLOtherBLUE SHIELD
MN0106754OtherMEDICA
500004451Medicare PIN