Individual
MRS. NICOLE LYNN OLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CHC
Contact information
Practice address
9014 W 96TH AVE, SAINT JOHN, IN 46373-8978
(219) 629-1176
Mailing address
9014 W 96TH AVE, SAINT JOHN, IN 46373-8978
(219) 629-1176
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.006005
IL
Other
Enumeration date
01/06/2014
Last updated
03/17/2018
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