Provider Demographics
NPI:1528583465
Name:ARNOLD, OLGA MICHELLE (MS, CNS, LDN)
Entity Type:Individual
Prefix:
First Name:OLGA
Middle Name:MICHELLE
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:MS, CNS, LDN
Other - Prefix:
Other - First Name:OLGA
Other - Middle Name:MICHELLE
Other - Last Name:KUTSY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1709 COLOMBARD CT
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-5956
Mailing Address - Country:US
Mailing Address - Phone:617-549-6542
Mailing Address - Fax:
Practice Address - Street 1:1709 COLOMBARD CT
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-5956
Practice Address - Country:US
Practice Address - Phone:617-549-6542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-11
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALDN6752133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist