Shelby Lee Olson, LPN
Individual provider Active NPI Licensed Practical Nurse · Cosmos, MN
NPI 1871879817 · NPPES record last updated Oct 21, 2011
Key facts
- NPI
- 1871879817
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- L71914-2 (MN)
- Practice address
- 332 Milkyway St N
Cosmos, MN 56228-9756 - Phone
- (320) 583-6690
- NPI assigned
- Oct 21, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L71914-2 | MN | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L71914-2 | MN | Yes |
Addresses
Primary practice location
332 Milkyway St N
Cosmos, MN 56228-9756
Mailing address
332 Milkyway St N
PO Box 272
Cosmos, MN 56228-9756
Phone (320) 583-6690
Other providers in Cosmos, MN
- Ashley Nicole Lueck
- Michelle McDonald
- Emily Michelle
- Nicole Mary Niehaus
- Kendra Mary Olson
- Amelia Palokangas
- Kyle Pollard
- Allisa Marie Ware Puentes
- Ashlie Raduenz
- Tori Lynn Riggleman
All providers in Cosmos, MN · Licensed Practical Nurse in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.