Individual provider · Type 1 NPI

Olivia Clark, RD

Registered Dietitian · Fort Wayne, IN

NPI number 1740648534 Active

Practice location

3909 New Vision Dr
Fort Wayne, IN 46845-1725

Mailing address

1234 E Dupont Rd Ste 1
Fort Wayne, IN 46825-1545

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XNone listed

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1740648534

Olivia Clark, RD's National Provider Identifier is 1740648534, issued on Feb 8, 2016. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Feb 8, 2016.