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Contact Information

HOLLY M BUNDRANT, PH.D., R.D., L.D.N.
225 N. WILLOW AVE.
WILLOW AVE. PROFESSIONAL COMPLEX
COOKEVILLE, TN38501
 Phone: 931-528-1617
 Fax: 931-528-1617
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for HOLLY M BUNDRANT · (Female)

NPI Number 1174640494
Status Active
Credentials PH.D., R.D., L.D.N.
Entity Individual
Enumeration date 03/23/2007
Last updated 09/15/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # LDN0000001650
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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