IndividualActive
Molly Shattuck, RD
NPI 1912284977 · Renal Nutrition Registered Dietitian · Moline, IL
Provider details
- NPI number
- 1912284977
- Entity type
- Individual
- Primary specialty
- Renal Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- License
- 001928 (IA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Practice location
400 John Deere Rd
Moline, IL 61265-6898
Phone: (309) 762-0200
Approximate (ZIP-level) locationGet directions
Mailing address
2514 3rd St
Moline, IL 61265-5105
Registry dates
- Enumerated
- 2011-11-04
- Last updated
- 2011-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.