Healthcare Provider Details

I. General information

NPI: 1528583465
Provider Name (Legal Business Name): OLGA MICHELLE ARNOLD MS, CNS, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: OLGA MICHELLE KUTSY

II. Dates (important events)

Enumeration Date: 08/11/2017
Last Update Date: 07/27/2024
Certification Date: 07/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

980 BRIAR HILL RD
WEST PAWLET VT
05775-9789
US

IV. Provider business mailing address

980 BRIAR HILL RD
WEST PAWLET VT
05775-9789
US

V. Phone/Fax

Practice location:
  • Phone: 617-549-6542
  • Fax:
Mailing address:
  • Phone: 617-549-6542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License NumberLDN6752
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License NumberLDN6752
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: