Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Camilla Provencher, RDN

Individual provider Registered Dietitian · NPI 1760347322

Camilla Provencher, RDN is a Registered Dietitian in Rockford, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

See every abbreviation used in this directory →

Practice location Address checks out

816 Featherstone Rd
Rockford, IL 61107-6300
Phone: (815) 227-0081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1760347322
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorNo
NPI enumeratedDecember 17, 2025
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025
Mailing address816 Featherstone Rd, Rockford, IL 61107-6300

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