Healthcare Provider Details

I. General information

NPI: 1689512030
Provider Name (Legal Business Name): DAWN OLSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1040 W BRISTOL RD
FLINT MI
48507-5516
US

IV. Provider business mailing address

7385 BREWER RD
FLINT MI
48507-4613
US

V. Phone/Fax

Practice location:
  • Phone: 810-853-0623
  • Fax:
Mailing address:
  • Phone: 810-853-0623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number4704275649
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: