Provider Demographics
NPI:1740170810
Name:OLSON, TODD MICHAEL
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:MICHAEL
Last Name:OLSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1507 HILLCREST DR
Mailing Address - Street 2:
Mailing Address - City:JUNIATA
Mailing Address - State:NE
Mailing Address - Zip Code:68955
Mailing Address - Country:US
Mailing Address - Phone:402-984-4901
Mailing Address - Fax:
Practice Address - Street 1:1507 HILLCREST DR
Practice Address - Street 2:
Practice Address - City:JUNIATA
Practice Address - State:NE
Practice Address - Zip Code:68955
Practice Address - Country:US
Practice Address - Phone:402-984-4901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE373H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist