Provider Demographics
NPI:1326888033
Name:ADAIR, MEGHAN (RDN LD)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:ADAIR
Suffix:
Gender:F
Credentials:RDN LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3202 LATOUCHE ST APT A3
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-4222
Mailing Address - Country:US
Mailing Address - Phone:435-512-3416
Mailing Address - Fax:
Practice Address - Street 1:3202 LATOUCHE ST APT A3
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-4222
Practice Address - Country:US
Practice Address - Phone:435-512-3416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK213099133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered