Provider Demographics
NPI:1033917885
Name:NOLTNER, RACHEL S (MS, RDN, CD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:S
Last Name:NOLTNER
Suffix:
Gender:X
Credentials:MS, RDN, CD
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:S
Other - Last Name:BRAUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7111 COUNTY ROAD K
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-3912
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7111 COUNTY ROAD K
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-3912
Practice Address - Country:US
Practice Address - Phone:920-650-5400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI386829133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered