Provider Demographics
NPI:1568133593
Name:GUYNN, MEGAN (RDN)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:GUYNN
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 GRAPEVINE MILLS PKWY UNIT 3233
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-0945
Mailing Address - Country:US
Mailing Address - Phone:425-358-1479
Mailing Address - Fax:
Practice Address - Street 1:2008 E HEBRON PKWY STE 114
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-1601
Practice Address - Country:US
Practice Address - Phone:469-431-0554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-21
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program