Most Relevant Information
Provider Data
| NPI Number: | 1003689498 |
| Provider Name: | KIMBERLY L OLSON APNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 14691-33 |
Most Important Dates
| Enumeration Date: | 11/06/2023 |
| Last Updated: | 11/06/2024 |
Provider Practice Location
260 26TH ST
PRAIRIE DU SAC
WI
535782203
Practice Location Phone/Fax
| Phone: | 6086433311 |
| Fax: |
Provider Mailing Location
PO BOX 8334
MADISON
WI
537088334
Provider Mailing Phone/Fax
| Phone: | 6085772084 |
| Fax: |