Healthcare Provider Details

I. General information

NPI: 1174463558
Provider Name (Legal Business Name): MOLLY RAE HANSEN OLSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HOSPITAL DR
PENDER NE
68047-4507
US

IV. Provider business mailing address

708 PARK RD
BANCROFT NE
68004-4080
US

V. Phone/Fax

Practice location:
  • Phone: 402-385-1899
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number73034
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: