MEDICARE: OLGA'S NUTRITION, LLC

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	133N00000X	Nutritionist

General Provider Information

NPI Number	:	1033918198
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OLGA'S NUTRITION, LLC

Provider Business Mailing Address
First Line	:	980 BRIAR HILL RD
Second Line	:
City	:	WEST PAWLET
State	:	VT
Zip	:	05775-9789
Country	:	US
Telephone Number	:	617-549-6542
Fax Number	:

Provider Business Practice Location Address
First Line	:	980 BRIAR HILL RD
Second Line	:
City	:	WEST PAWLET
State	:	VT
Zip	:	05775-9789
Country	:	US
Telephone Number	:	617-549-6542
Fax Number	:

Authorized Official
Title or Position	:	FUNCTIONAL CLINICAL NUTRITIONIST
Name	:	MRS. OLGA MICHELLE ARNOLD
Credential	:	MS, CNS, LDN
Telephone Number	:	617-549-6542

Provider Enumeration Date	:	03/11/2025
Last Update Date	:	03/12/2025

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