Healthcare Provider Details

I. General information

NPI: 1508780354
Provider Name (Legal Business Name): GRACE ELIZABETH OLSON DNP, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3411 SILVERSIDE RD
WILMINGTON DE
19810-4812
US

IV. Provider business mailing address

3220 STARTING GATE CT
WOODBINE MD
21797-7937
US

V. Phone/Fax

Practice location:
  • Phone: 302-543-5454
  • Fax: 302-327-4200
Mailing address:
  • Phone: 443-745-7959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberLG-0014013
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: