Provider Demographics
NPI:1437324548
Name:O'QUINN, OLHA ANNA (PHD, CDN, CDE)
Entity Type:Individual
Prefix:DR
First Name:OLHA
Middle Name:ANNA
Last Name:O'QUINN
Suffix:
Gender:F
Credentials:PHD, CDN, CDE
Other - Prefix:DR
Other - First Name:OLHA
Other - Middle Name:ANNA
Other - Last Name:SHEVCHUK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, CDN
Mailing Address - Street 1:36 WYETH DR
Mailing Address - Street 2:
Mailing Address - City:GETZVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14068-1244
Mailing Address - Country:US
Mailing Address - Phone:917-922-5326
Mailing Address - Fax:
Practice Address - Street 1:742 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14209-2202
Practice Address - Country:US
Practice Address - Phone:716-431-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003057-1133N00000X
2052-0329133NN1002X
174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education