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Penny Bolen, RD,LDN
Registered Dietitian in Rockford, Illinois
NPI 1487941886

Penny Bolen is a Registered Dietitian based in Rockford, IL. Penny Bolen practices in Rockford, IL and has the professional credentials of RD,LDN. The NPI Number for Penny Bolen is 1487941886 and holds a License No. 164.001351 (Illinois).

The current practice location address for Penny Bolen is 1401 E State St, Rockford, IL and can be reached out via phone at 815-489-4662 and via fax at 815-961-2438. You can also correspond with Penny Bolen through the mailing address at 6623 VALLEY TRAIL RD, ROCKFORD, IL - 61109-4599 (mailing address contact number: ).

Location: 1401 E State St, Rockford, IL, 61109-4599
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487941886
Provider Name
Penny Bolen
Credential
RD,LDN
Provider Entity Type
Individual
Gender
Female
Address
1401 E State St, Rockford, IL, 61109-4599
Phone Number
815-489-4662
Fax Number
815-961-2438
Provider Enumeration Date
07/06/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1401 E State St
City
Rockford
State
Illinois
Zip
61104-2315
Phone Number
815-489-4662
Fax Number
815-961-2438
person
Provider Business Mailing Address Details
Address
6623 Valley Trail Rd
City
Rockford
State
Illinois
Zip
61109-4599
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
-
Taxonomy
133V00000X
License No.
164.001351 (Illinois)
Definition
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 purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
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