Individual provider · Type 1 NPI
Kelly J. Olson, NP
Family Nurse Practitioner · Rice Lake, WI
NPI number
1104100718
Active
Practice location
1700 W Stout St
Rice Lake, WI 54868-5000
Mailing address
1000 N Oak Ave
Marshfield, WI 54449-5703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 4606 (WI) |
| Family Nurse Practitioner Primary | 363LF0000X | 4606 (WI) |
Family Nurse Practitioner: Definition to come...
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Other family nurse practitioner providers in Rice Lake
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About NPI 1104100718
Kelly J. Olson, NP's National Provider Identifier is 1104100718, issued on Sep 30, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rice Lake, WI. The record was last updated on Sep 30, 2011.