Individual provider · Type 1 NPI

Camilla Provencher, RDN

Registered Dietitian · Rockford, IL

NPI number 1760347322 Active

Practice location

816 Featherstone Rd
Rockford, IL 61107-6300

Call (815) 227-0081 Map

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 1760347322

Camilla Provencher, RDN's National Provider Identifier is 1760347322, issued on Dec 17, 2025. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Rockford, IL. The record was last updated on Dec 17, 2025.