Provider Demographics
NPI:1821891144
Name:MEGAN BRISTER NUTRITION, LLC
Entity type:Organization
Organization Name:MEGAN BRISTER NUTRITION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:BOWEN
Authorized Official - Last Name:BRISTER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RDN
Authorized Official - Phone:662-871-3897
Mailing Address - Street 1:1836 LAUREL RD
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-1404
Mailing Address - Country:US
Mailing Address - Phone:662-871-3897
Mailing Address - Fax:
Practice Address - Street 1:1836 LAUREL RD
Practice Address - Street 2:
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-1404
Practice Address - Country:US
Practice Address - Phone:662-871-3897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight ManagementGroup - Single Specialty