Provider Demographics
NPI:1710042692
Name:ERWINE, MEGEN LEIGH (RDN, LDN)
Entity Type:Individual
Prefix:
First Name:MEGEN
Middle Name:LEIGH
Last Name:ERWINE
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:MEGEN
Other - Middle Name:LEIGH
Other - Last Name:MILINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10480 LUCAYA DRIVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647
Mailing Address - Country:US
Mailing Address - Phone:724-422-2419
Mailing Address - Fax:724-282-3004
Practice Address - Street 1:2700 HEALING WAY
Practice Address - Street 2:SUITE 101
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33543
Practice Address - Country:US
Practice Address - Phone:813-929-5368
Practice Address - Fax:724-282-3004
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133N00000X, 133V00000X
FLND6062133N00000X
FL963775133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist