Healthcare Provider Details

I. General information

NPI: 1366096026
Provider Name (Legal Business Name): OLIVIA OLSON AU.D., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2019
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 SW WHITE BIRCH CIR STE 104
ANKENY IA
50023-7226
US

IV. Provider business mailing address

1810 SW WHITE BIRCH CIR STE 104
ANKENY IA
50023-7226
US

V. Phone/Fax

Practice location:
  • Phone: 515-501-5564
  • Fax: 515-758-4461
Mailing address:
  • Phone: 515-501-5564
  • Fax: 515-758-4461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number124752
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number124752
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: