MEDICARE: OLGA MICHELLE ARNOLD MS, CNS, LDN

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	133NN1002X	Nutrition Education Nutritionist	LDN6752	MA
2	133N00000X	Nutritionist	LDN6752	MA

General Provider Information

NPI Number	:	1528583465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLGA MICHELLE ARNOLD MS, CNS, LDN

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2017
Last Update Date	:	07/27/2024

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