Provider Demographics
NPI:1720128861
Name:MEAKER, NANCY BALCONI (RD,LDN)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:BALCONI
Last Name:MEAKER
Suffix:
Gender:F
Credentials:RD,LDN
Other - Prefix:MRS
Other - First Name:NANCY
Other - Middle Name:LEE
Other - Last Name:MEAKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD,LDN
Mailing Address - Street 1:4739 WESTERLY DR
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-5619
Mailing Address - Country:US
Mailing Address - Phone:727-375-0376
Mailing Address - Fax:
Practice Address - Street 1:6600 MADISON ST
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-1971
Practice Address - Country:US
Practice Address - Phone:727-843-4510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND 2934133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered