NPI 1316710445

Olivia Louise Mountcastle, RDNLDNMS

Practitioner Oncology Nutrition Registered Dietitian Jackson, WY

Practice location

Address: 625 E Broadway Ave, Jackson, WY 83001-8642
Phone: (307) 739-7361

Registered specialties

Oncology Nutrition Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133VN1301X Licence 499 (WY)

Other Dietitian, Registered providers in Wyoming →

Registry record

NPI: 1316710445
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Oct 2023
Record last updated: 31 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.