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

AMANDA MICHELLE BOLIN, RD

Active Sole Proprietor

AMANDA MICHELLE BOLIN, RD is a Registered Dietitian healthcare provider located in FORT WAYNE, Indiana. NPI 1689922403 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · FORT WAYNE, IN

Registration Details

NPI Number
1689922403
Provider Type
Individual
Gender
Female
NPI Issued
Aug 28, 2012 (13.916796972776 yrs)
Last Updated
Nov 5, 2012
License
37002215A (IN)
Sole Proprietor
Yes

Practice Information

Address
11141 PARKVIEW PLAZA DR
SUITE 210
FORT WAYNE, IN, 468451713
Browse IN providers · Browse ZIP 46845
Phone
2603478187
Fax
2603478023
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in FORT WAYNE, IN

Name Credential NPI
ANN REIDENBACH MPH RD CD 1114912482
LISA RAMOS RD, LD, CDE, CD 1720060007
MELISSA YAKE R.D. 1588623599
MARIA KRACH R.D. 1013976950
SUSAN DELAGRANGE RDCD 1437118445
MRS. KATHERINE R CAPEN RD LD 1023050648
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.