Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | COA.18299-NP | OH |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | NUR-APRN-LIC-102079 | MT |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | NUR-APRN-LIC-102079 | MT |
NPI | 1033574991 |
---|---|
Provider Name | Kathryn Elaine Olson |
First Address | Havre, MT 59501-3649 |
Second Address | Havre, MT 59501-3649 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2015 |
Last Update Date | 28/03/2018 |