NPI Registry.org

Olive Branch Nutrition

NPI Registration Record

Provider / OrganizationNPIDate Certified
OLIVE BRANCH NUTRITION14670519122020-11-19

The organization Olive Branch Nutrition is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1467051912. Registration indicates Olive Branch Nutrition is a provider of services with a specialization in Dietary & Nutritional Service Providers, Dietitian, Registered (Dietitian, Registered, ) (All Other Specialties & Provider Types, ) (Dietitian, Registered, Dietary & Nutritional Service Providers)

Entity TypeOrganization
Provider OrganizationOLIVE BRANCH NUTRITION
Practice Office Address9654 KELLEY LN
HUNTLEY, IL US
Practice Office Telephone6307500955
Mailing Address9654 KELLEY LN
HUNTLEY, IL 601420058 US
Business Telephone6307500955
Authorized OfficialEFTHEMIA GRECO, OWNER
6307500955
Contact Endpoints
Simple Practice Client Portal [Client Portal]https://olivebranchnutrition.clientsecure.me/Health Information Exchange (HIE)
HPT Codes
CodePractice
License No
State
133V00000X PRIMARY
Dietary & Nutritional Service Providers
Dietitian, Registered
Dietitian, Registered

All Other Specialties & Provider Types

Dietitian, Registered
Dietary & Nutritional Service Providers
193400000X SINGGroup Code
OPI Codes
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