Doctor Name: | KAREN M BOLDERMAN |
NPI Number: | 1225415615 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LDN, CDE |
License Number: | ND7205 |
Business Practice Address: | 1400 N Us Highway 441 Suuite 810 The Villages, FL - 321598975 |
Business Phone Number: | 3526748700 |
Business Fax Number: | 3526748714 |
Mailing Address: | 1020 Lake Sumter Lndg, THE VILLAGES |
State: | FL |
Postal Code: | 321622699 |
Phone Number: | 3526748700 |
Fax Number: | 3526748714 |
NPI Enumeration Date: | 05/05/2015 |
NPI Last Update Date: | 05/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | ND7205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |