Provider Demographics
NPI:1902357148
Name:OLSON, ALISON L (APRN, CNNP)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:L
Last Name:OLSON
Suffix:
Gender:F
Credentials:APRN, CNNP
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:L
Other - Last Name:FISHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5901 LINCOLN DR
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55436-1611
Mailing Address - Country:US
Mailing Address - Phone:952-992-5691
Mailing Address - Fax:952-992-6917
Practice Address - Street 1:347 SMITH AVE N
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-2387
Practice Address - Country:US
Practice Address - Phone:651-220-6210
Practice Address - Fax:651-220-7777
Is Sole Proprietor?:No
Enumeration Date:2016-10-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI164584-30363LN0005X
MNCNP4997363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care