Provider Demographics
NPI:1194454843
Name:OLEK, SHELBY GRACE (APNP)
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:GRACE
Last Name:OLEK
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:SHELBY
Other - Middle Name:GRACE
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:200 1ST ST SW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55905-0001
Mailing Address - Country:US
Mailing Address - Phone:507-284-2511
Mailing Address - Fax:715-838-3855
Practice Address - Street 1:1221 WHIPPLE ST
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54703-5200
Practice Address - Country:US
Practice Address - Phone:715-838-3258
Practice Address - Fax:715-838-3855
Is Sole Proprietor?:No
Enumeration Date:2022-06-08
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI13104363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner