Healthcare Provider Details

I. General information

NPI: 1346611266
Provider Name (Legal Business Name): KARL OLSON DNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2015
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7201 METRO BLVD STE 550
EDINA MN
55439-1353
US

IV. Provider business mailing address

7201 METRO BLVD STE 550
EDINA MN
55439-1353
US

V. Phone/Fax

Practice location:
  • Phone: 612-234-2788
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberCNP 4229
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: