Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OLIVIA LOUISE MOUNTCASTLE, RDN LDN MS
ActiveOncology Nutrition · JACKSON, WY
Registration Details
- NPI Number
- 1316710445
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 31, 2023 (2.474775033328 yrs)
- Last Updated
- Oct 31, 2023
- License
-
499 (WY)
Practice Information
- Address
-
625 E BROADWAY AVEJACKSON, WY, 830018642Browse WY providers · Browse ZIP 83001
- Phone
- 3077397361
- Primary Specialty
-
Oncology Nutrition
133VN1301X
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.