Provider Demographics
NPI:1871179770
Name:MILIANO, OLIVIA LEIGH (MS, RDN)
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:LEIGH
Last Name:MILIANO
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 WILHELMINA AVE
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-1334
Mailing Address - Country:US
Mailing Address - Phone:617-599-4875
Mailing Address - Fax:
Practice Address - Street 1:15 WILHELMINA AVE
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-1334
Practice Address - Country:US
Practice Address - Phone:617-599-4875
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-22
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered