Provider Demographics
NPI:1194332346
Name:NUTRITION WITH MEGAN, LLC
Entity type:Organization
Organization Name:NUTRITION WITH MEGAN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:317-344-9522
Mailing Address - Street 1:17193 LINDA WAY
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46062-7128
Mailing Address - Country:US
Mailing Address - Phone:765-271-1731
Mailing Address - Fax:
Practice Address - Street 1:1950 EAST GREYHOUND PASS
Practice Address - Street 2:SUITE 18 #179
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46033-7730
Practice Address - Country:US
Practice Address - Phone:317-344-9522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-30
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty