Provider Demographics
NPI:1215154232
Name:OLSON, KAREN JANE (FNP)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:JANE
Last Name:OLSON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:KAREN
Other - Middle Name:JANE
Other - Last Name:OLSON FIELDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:1121 E 3900 S
Mailing Address - Street 2:STE C230
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84124-1297
Mailing Address - Country:US
Mailing Address - Phone:801-262-9494
Mailing Address - Fax:866-415-6807
Practice Address - Street 1:13400 S. 5746 W #200
Practice Address - Street 2:
Practice Address - City:HERRIMAN
Practice Address - State:UT
Practice Address - Zip Code:84096
Practice Address - Country:US
Practice Address - Phone:801-987-7500
Practice Address - Fax:801-987-7539
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2250634405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily