Provider Demographics
NPI:1811230097
Name:OLSON, BARB ROSE (RN)
Entity Type:Individual
Prefix:MRS
First Name:BARB
Middle Name:ROSE
Last Name:OLSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6461 LYNDALE AVE SO
Mailing Address - Street 2:CRYSTAL CARE HOME HEALTH
Mailing Address - City:RICHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55423
Mailing Address - Country:US
Mailing Address - Phone:612-861-4272
Mailing Address - Fax:612-605-0078
Practice Address - Street 1:6461 LYNDALE AVE. SO
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55423
Practice Address - Country:US
Practice Address - Phone:612-861-4272
Practice Address - Fax:612-605-0078
Is Sole Proprietor?:No
Enumeration Date:2013-04-05
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR135181-3163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse