Healthcare Provider Details

I. General information

NPI: 1750286852
Provider Name (Legal Business Name): KERRY OLSON DNP, APRN, AGCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 1ST DR NW
AUSTIN MN
55912-2941
US

IV. Provider business mailing address

1000 1ST DR NW
AUSTIN MN
55912-2941
US

V. Phone/Fax

Practice location:
  • Phone: 507-433-8758
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SM0705X
TaxonomyMedical-Surgical Clinical Nurse Specialist
License Number689
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: