MEDICARE: CELESTE OLSON MBA, RDN, LDN, CNSC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133VN1301X	Oncology Nutrition Registered Dietitian		FL

General Provider Information

NPI Number	:	1285569962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CELESTE OLSON MBA, RDN, LDN, CNSC

Provider Business Mailing Address
First Line	:	861 XAVIER AVE N
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-5029
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8931 COLONIAL CENTER DR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33905-7809
Country	:	US
Telephone Number	:	239-343-9500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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