Provider Demographics
NPI:1568189454
Name:ABBOTT, MEGAN (NTP, FBCS)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:ABBOTT
Suffix:
Gender:F
Credentials:NTP, FBCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:961 WELLSTON CT
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-2615
Mailing Address - Country:US
Mailing Address - Phone:412-638-5074
Mailing Address - Fax:
Practice Address - Street 1:961 WELLSTON CT
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-2615
Practice Address - Country:US
Practice Address - Phone:412-638-5074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-21
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist