Provider Demographics
NPI:1407444995
Name:HALL, MEGAN (BS, MS)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:BS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 271913
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-0032
Mailing Address - Country:US
Mailing Address - Phone:530-514-0801
Mailing Address - Fax:
Practice Address - Street 1:8495 S UPHAM WAY
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-6351
Practice Address - Country:US
Practice Address - Phone:530-514-0801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-09
Last Update Date:2021-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist