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NPI Code Detail

MEDICARE: STEVEN JOSEPH OLSON RN

MEDICARE: STEVEN JOSEPH OLSON RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0808XPsychiatric/Mental Health Registered NurseRO29265SD

General Provider Information

NPI Number : 1124890140
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN JOSEPH OLSON RN
Provider Business Mailing Address
First Line : 350 ELK ST
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-7351
Country : US
Telephone Number : 605-343-7262
Fax Number :
Provider Business Practice Location Address
First Line : 308 QUINCY ST
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-2813
Country : US
Telephone Number : 605-391-4863
Fax Number : 605-342-3692
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2023
Last Update Date : 10/23/2023

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