NPI 1316710445 · live from the CMS NPI Registry
Olivia Louise Mountcastle, RDN LDN MS
Dietitian, Registered, Nutrition, Oncology in Jackson, WY. National Provider Identifier 1316710445, active.
NPI record
| NPI | 1316710445 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered, Nutrition, Oncology 133VN1301X |
| Practice location | 625 E Broadway Ave, Jackson, WY 83001 |
| Practice phone | 307-739-7361 |
| Enumerated | October 31, 2023 |
| Last updated | October 31, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered, Nutrition, Oncology primary | 133VN1301X | 499 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.