Individual provider · Type 1 NPI

Carly Jane Olson, PA-S

Student in an Organized Health Care Education/Training Program · Minneapolis, MN

NPI number 1912839473 Active

Practice location

2211 Riverside Ave
Minneapolis, MN 55454-7505

Call (612) 330-1388 Map

Mailing address

2424 Territorial Rd Apt 205
St. Paul, MN 55114-1580

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1912839473

Carly Jane Olson, PA-S's National Provider Identifier is 1912839473, issued on Jun 1, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Minneapolis, MN. The record was last updated on Jun 1, 2026.