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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PENNY BOLEN, RD, LDN

Active

PENNY BOLEN, RD, LDN is a Registered Dietitian healthcare provider located in ROCKFORD, Illinois. NPI 1487941886 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · ROCKFORD, IL

Registration Details

NPI Number
1487941886
Provider Type
Individual
Gender
Female
NPI Issued
Jul 6, 2011 (15.064327578052 yrs)
Last Updated
Jul 6, 2011
License
164.001351 (IL)

Practice Information

Address
1401 E STATE ST
ROCKFORD, IL, 611042315
Browse IL providers · Browse ZIP 61104
Phone
8154894662
Fax
8159612438
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in ROCKFORD, IL

Name Credential NPI
MS. DEBORAH LYNNE MUSSELMAN RD 1578519302
PRISCILLA M BABLER R.D. 1639100324
LENORE C CONBOY R.D. 1427080811
JULIE A DE ROUSH R.D. 1740212638
MS. DIANE MICHELLE SIMON MS RD LDN 1497865349
MRS. JULIE POPE FULTON M.S., R.D., C.D. 1427140730
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.