| Shannon Marie Olson, CNP | |
|
410 4th Ave Ne, Pine City, MN 55063-1200 | |
| (320) 310-5166 | |
| Not Available |
| Full Name | Shannon Marie Olson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 410 4th Ave Ne, Pine City, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710715214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 11841 (Minnesota) | Primary |
| Entity Name | Centracare Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Marie Olson, CNP 410 4th Ave Ne, Pine City, MN 55063-1200 Ph: (320) 310-5166 | Shannon Marie Olson, CNP 410 4th Ave Ne, Pine City, MN 55063-1200 Ph: (320) 310-5166 |
Melinda Margaret Mckay, DNP, APRN, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1425 Main St N, Pine City, MN 55063 Phone: 320-629-7505 Fax: 320-225-3507 | |
Kathryn Marvin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Evergreen Sq Sw, Pine City, MN 55063 Phone: 320-629-6721 | |
Sandra J. Moore, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1425 Main St N, Pine City, MN 55063 Phone: 320-629-7505 Fax: 320-629-2202 |