Healthcare Provider Details

I. General information

NPI: 1598633349
Provider Name (Legal Business Name): CAITLIN OLSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2025
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6401 FRANCE AVE S
EDINA MN
55435-2104
US

IV. Provider business mailing address

3304 ISLAND DRIVE NW
ALEXANDRIA MN
56308
US

V. Phone/Fax

Practice location:
  • Phone: 952-848-5600
  • Fax:
Mailing address:
  • Phone: 320-424-3320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: