MEDICARE: BRIANNA K OLSEN RDN

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	133V00000X	Registered Dietitian	14269199-4901	UT

General Provider Information

NPI Number	:	1396695169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANNA K OLSEN RDN

Provider Business Mailing Address
First Line	:	2007 E CIRCLE RIDGE DR
Second Line	:
City	:	SAINT GEORGE
State	:	UT
Zip	:	84790-6527
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2007 E CIRCLE RIDGE DR
Second Line	:
City	:	SAINT GEORGE
State	:	UT
Zip	:	84790-6527
Country	:	US
Telephone Number	:	801-722-8594
Fax Number	:

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

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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