Provider Demographics
NPI:1558950857
Name:HARKINS, MEAGHAN (RDN)
Entity type:Individual
Prefix:
First Name:MEAGHAN
Middle Name:
Last Name:HARKINS
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 1:18725 DARNESTOWN RD
Mailing Address - Street 2:
Mailing Address - City:DICKERSON
Mailing Address - State:MD
Mailing Address - Zip Code:20842-9137
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:18725 DARNESTOWN RD
Practice Address - Street 2:
Practice Address - City:DICKERSON
Practice Address - State:MD
Practice Address - Zip Code:20842-9137
Practice Address - Country:US
Practice Address - Phone:240-690-1367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-12
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX4906133V00000X
86066778133V00000X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered