Healthcare Provider Details

I. General information

NPI: 1356855514
Provider Name (Legal Business Name): DANIELLE CHRISTINE OLNEY MBA,RD,CSO,CD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2017
Last Update Date: 11/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 N MADISON AVE
ANDERSON IN
46011-3453
US

IV. Provider business mailing address

8449 W STATE ROAD 32
LAPEL IN
46051-9766
US

V. Phone/Fax

Practice location:
  • Phone: 765-298-3653
  • Fax: 765-298-5833
Mailing address:
  • Phone: 317-364-0204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: