Provider Demographics
NPI:1932643517
Name:BROWN, MEGHAN (MHS, RD, LDN)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:MHS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3612 SHANNON RD STE 103
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-6333
Mailing Address - Country:US
Mailing Address - Phone:919-870-1001
Mailing Address - Fax:919-516-0673
Practice Address - Street 1:3612 SHANNON RD STE 103
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6333
Practice Address - Country:US
Practice Address - Phone:919-870-1001
Practice Address - Fax:919-516-0673
Is Sole Proprietor?:No
Enumeration Date:2016-12-15
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL004279133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered