MEDICARE: COURTNEY ANN OLEK

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
1	363LA2100X	Acute Care Nurse Practitioner	2066754	MN
2	363L00000X	Nurse Practitioner	9281	MN

General Provider Information

NPI Number	:	1508598350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY ANN OLEK

Provider Business Mailing Address
First Line	:	8170 33RD AVE S # MS 21110Q
Second Line	:
City	:	BLOOMINGTON
State	:	MN
Zip	:	55425-4516
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 PHALEN BLVD
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55130-5302
Country	:	US
Telephone Number	:	651-254-7980
Fax Number	:	651-254-7969

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2022
Last Update Date	:	04/20/2026

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Directions to “ COURTNEY ANN OLEK ” Practice Location

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