Olivia M Fagin
Dietitian, Registered in Cincinnati, OH. Individual provider (NPI-1).
NPI number1760143085
StatusActive
Last updated in NPPESJun 14, 2022
Details
- NPI
- 1760143085
- Entity type
- Individual (NPI-1)
- Name
- Olivia M Fagin
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 8, 2022
- Certification date
- Jun 14, 2022
- Last updated
- Jun 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
| 133V00000X | Dietitian, Registered | 074.0134313 | VT | |
| 133V00000X | Dietitian, Registered | DN007782 | PA | |
| 133V00000X | Dietitian, Registered | D2229 | MS | |
| 133V00000X | Dietitian, Registered | DN-0010942 | DE | |
| 133V00000X | Dietitian, Registered | 276301 | KY | |
| 133V00000X | Dietitian, Registered | LD.08944 | OH |
Practice location
555 Race StCincinnati, OH 45202-2347
Phone 855-699-6937
Mailing address
2620 Elm Hill PikeNashville, TN 37214-3108
Phone 615-425-4200
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