Provider Demographics
NPI:1538940937
Name:OEHLHOF, BETHANIE JOY (CFNC)
Entity type:Individual
Prefix:
First Name:BETHANIE
Middle Name:JOY
Last Name:OEHLHOF
Suffix:
Gender:F
Credentials:CFNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 204
Mailing Address - Street 2:
Mailing Address - City:ROBERTS
Mailing Address - State:WI
Mailing Address - Zip Code:54023-0204
Mailing Address - Country:US
Mailing Address - Phone:608-617-4463
Mailing Address - Fax:
Practice Address - Street 1:82 COULEE RD STE 105
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-1955
Practice Address - Country:US
Practice Address - Phone:612-470-4535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-11
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education