Provider Demographics
NPI:1770936536
Name:DAY, MEAGAN (RDN)
Entity type:Individual
Prefix:
First Name:MEAGAN
Middle Name:
Last Name:DAY
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 1:611 E CARLSON ST STE 117
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82009-4335
Mailing Address - Country:US
Mailing Address - Phone:307-514-0510
Mailing Address - Fax:307-514-2941
Practice Address - Street 1:611 E CARLSON ST STE 117
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-4335
Practice Address - Country:US
Practice Address - Phone:307-514-0510
Practice Address - Fax:307-514-2941
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-18
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD7998133V00000X
WY215133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered