Provider Demographics
NPI:1356855514
Name:OLNEY, DANIELLE CHRISTINE (MBA,RD,CSO,CD)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:CHRISTINE
Last Name:OLNEY
Suffix:
Gender:F
Credentials:MBA,RD,CSO,CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8449 W STATE ROAD 32
Mailing Address - Street 2:
Mailing Address - City:LAPEL
Mailing Address - State:IN
Mailing Address - Zip Code:46051-9766
Mailing Address - Country:US
Mailing Address - Phone:317-364-0204
Mailing Address - Fax:
Practice Address - Street 1:1515 N MADISON AVE
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46011-3453
Practice Address - Country:US
Practice Address - Phone:765-298-3653
Practice Address - Fax:765-298-5833
Is Sole Proprietor?:No
Enumeration Date:2017-11-27
Last Update Date:2017-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered