Individual provider · Type 1 NPI

Penny Bolen, RD, LDN

Registered Dietitian · Rockford, IL

NPI number 1487941886 Active

Practice location

1401 E State St
Rockford, IL 61104-2315

Call (815) 489-4662 Map

Fax (815) 961-2438

Mailing address

6623 Valley Trail Rd
Rockford, IL 61109-4599

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X164.001351 (IL)

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 1487941886

Penny Bolen, RD, LDN's National Provider Identifier is 1487941886, issued on Jul 6, 2011. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Rockford, IL. The record was last updated on Jul 6, 2011.