MEDICARE: MELISSA 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
1	163WP2201X	Ambulatory Care Registered Nurse	R034079	SD

General Provider Information

NPI Number	:	1558244012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA OLSON RN

Provider Business Mailing Address
First Line	:	1500 S KINDERHOOK AVE
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57106-5410
Country	:	US
Telephone Number	:	605-360-6597
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 S KINDERHOOK AVE
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57106-5410
Country	:	US
Telephone Number	:	605-360-6597
Fax Number	:

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

Provider Enumeration Date	:	07/30/2025
Last Update Date	:	07/30/2025

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Directions to “ MELISSA OLSON RN” Practice Location

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