Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MOLLY SHATTUCK, RD
ActiveMRS. MOLLY SHATTUCK, RD is a Renal Nutrition healthcare provider located in MOLINE, Illinois. NPI 1912284977 is currently active in the NPPES registry. Verify at CMS.
Renal Nutrition · MOLINE, IL
Registration Details
- NPI Number
- 1912284977
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 4, 2011 (14.798244110419 yrs)
- Last Updated
- Nov 4, 2011
- Licenses
-
001928 (IA)164005153 (IL)
Practice Information
- Address
-
400 JOHN DEERE RDMOLINE, IL, 612656898Browse IL providers · Browse ZIP 61265
- Phone
- 3097620200
- Primary Specialty
-
Renal Nutrition
133VN1005X
- Additional Specialty
- Renal Nutrition
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.