Provider Demographics
NPI:1871823773
Name:OLSON, KAREN ELAINE (APRN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ELAINE
Last Name:OLSON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 SMITH AVE N
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-2393
Mailing Address - Country:US
Mailing Address - Phone:651-241-5111
Mailing Address - Fax:785-270-7646
Practice Address - Street 1:310 SMITH AVE N STE 300
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-2383
Practice Address - Country:US
Practice Address - Phone:651-241-5111
Practice Address - Fax:651-241-5512
Is Sole Proprietor?:No
Enumeration Date:2009-12-28
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5594363L00000X, 363LA2200X
KS5375064032363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner