Provider Demographics
NPI:1528583465
Name:ARNOLD, OLGA MICHELLE (MS, CNS, LDN)
Entity type:Individual
Prefix:
First Name:OLGA
Middle Name:MICHELLE
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:MS, CNS, LDN
Other - Prefix:
Other - First Name:OLGA
Other - Middle Name:MICHELLE
Other - Last Name:KUTSY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:980 BRIAR HILL RD
Mailing Address - Street 2:
Mailing Address - City:WEST PAWLET
Mailing Address - State:VT
Mailing Address - Zip Code:05775-9789
Mailing Address - Country:US
Mailing Address - Phone:617-549-6542
Mailing Address - Fax:
Practice Address - Street 1:980 BRIAR HILL RD
Practice Address - Street 2:
Practice Address - City:WEST PAWLET
Practice Address - State:VT
Practice Address - Zip Code:05775-9789
Practice Address - Country:US
Practice Address - Phone:617-549-6542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-11
Last Update Date:2024-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALDN6752133NN1002X, 133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education