Leanne Bolton, MS, RD

Individual provider Active NPI Registered Dietitian · Mobile, AL

NPI 1689367153 · NPPES record last updated May 31, 2023

Key facts

NPI
1689367153
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
2829 (AL)
Practice address
1660 Spring Hill Ave
Mobile, AL 36604-1405
Phone
(251) 665-8000
NPI assigned
May 31, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2829ALMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2829 AL Yes

Addresses

Primary practice location

1660 Spring Hill Ave
Mobile, AL 36604-1405

Mailing address

1660 Spring Hill Ave
Mobile, AL 36604-1405
Phone (251) 665-8000

Other providers in Mobile, AL

All providers in Mobile, AL · Registered Dietitian in Alabama

Sources for this page

Verify at the official NPI Registry.