Healthcare Provider Details

I. General information

NPI: 1487592846
Provider Name (Legal Business Name): LINNEA OLSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 S MAIN ST STE 105
OSHKOSH WI
54902-6074
US

IV. Provider business mailing address

N96W19777 COUNTY LINE RD
MENOMONEE FALLS WI
53051-7138
US

V. Phone/Fax

Practice location:
  • Phone: 920-981-8610
  • Fax: 920-567-3971
Mailing address:
  • Phone: 920-981-8610
  • Fax: 920-567-3971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number227243-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: