Provider Demographics
NPI:1023669025
Name:STRICKLEY, OLIVIA NELL (RD)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:NELL
Last Name:STRICKLEY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:OLIVIA
Other - Middle Name:NELL
Other - Last Name:HOELKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:818 E BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:IL
Mailing Address - Zip Code:62286-1820
Mailing Address - Country:US
Mailing Address - Phone:618-443-2177
Mailing Address - Fax:618-443-1383
Practice Address - Street 1:818 E BROADWAY ST
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:IL
Practice Address - Zip Code:62286-1820
Practice Address - Country:US
Practice Address - Phone:618-443-2177
Practice Address - Fax:618-443-1383
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-23
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered