Healthcare Provider Details

I. General information

NPI: 1659156917
Provider Name (Legal Business Name): MEG OLSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2023
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

72 KIMBALLS LANE BLDG 2 SUITE 260
DRAPER UT
84202
US

IV. Provider business mailing address

407 N 250 W
VINEYARD UT
84059-6649
US

V. Phone/Fax

Practice location:
  • Phone: 801-895-3146
  • Fax: 801-850-6611
Mailing address:
  • Phone: 425-281-8844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11778064-4405
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number11778064-3102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: