Provider Demographics
NPI:1457343477
Name:OLSON, LINDA LOU (CRNP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:LOU
Last Name:OLSON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9593 ANDERSON RD
Mailing Address - Street 2:
Mailing Address - City:MERCERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17236-9577
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9593 ANDERSON RD
Practice Address - Street 2:
Practice Address - City:MERCERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17236-9577
Practice Address - Country:US
Practice Address - Phone:717-491-7723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP008588363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007307260034OtherMEDICAID GROUP #
PA25-1716306OtherHEALTHNET/TRICARE
PA50083678OtherCAPITAL BLUECROSS (TFP)
PAP00468819OtherRAILROAD MEDICARE
PA101276956 0002Medicaid
PA50076563OtherCAPITAL BLUECROSS (SG)
PA867633OtherMEDICARE GROUP #
PARN281713LOtherLICENSE
PA120420414OtherDEPT OF LABOR
PA25-1716306OtherDEVON
PA440117OtherHEALTH AMERICA
PA440117OtherHEALTH AMERICA
PA1007307260034OtherMEDICAID GROUP #
PAP72228Medicare UPIN