Provider Demographics
NPI:1346056959
Name:OLMSTED, CYNTHIA KATHERINE (RN)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:KATHERINE
Last Name:OLMSTED
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1204 N 8TH AVE E
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55805-1449
Mailing Address - Country:US
Mailing Address - Phone:218-343-7307
Mailing Address - Fax:
Practice Address - Street 1:1204 N 8TH AVE E
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55805-1449
Practice Address - Country:US
Practice Address - Phone:218-343-7307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR-173830-O163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health