Provider Demographics
NPI:1831355809
Name:WOLLEN-OLSON, MARGARET ANN (FNP)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:WOLLEN-OLSON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:ANN
Other - Last Name:LEMERANDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN BC
Mailing Address - Street 1:1616 INDUSTRIAL DR
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65109-1471
Mailing Address - Country:US
Mailing Address - Phone:573-636-2181
Mailing Address - Fax:
Practice Address - Street 1:1616 INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65109-1471
Practice Address - Country:US
Practice Address - Phone:573-636-2181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007018587363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
366364OtherAMERICAN NURSES CREDENTIALING CENTER
MO2007018587OtherMISSOURI STATE BOARD OF NURSING
CA12818OtherBOARD OF REGISTERED NURSING