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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OLIVIA FEASTER, R.D., CSG , L.D.

Active Sole Proprietor

Gerontological Nutrition · SHERIDAN, WY

Registration Details

NPI Number
1215338975
Provider Type
Individual
Gender
Female
NPI Issued
Sep 11, 2014 (11.6113213629 yrs)
Last Updated
Nov 26, 2019
Licenses
150 (WY)
150 (WY)
Sole Proprietor
Yes

Practice Information

Address
1898 FORT RD
SHERIDAN, WY, 828018320
Browse WY providers · Browse ZIP 82801
Phone
3076753837
Primary Specialty
Gerontological Nutrition
133VN1101X
Additional Specialty
Gerontological Nutrition
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.