Provider Demographics
NPI:1831797661
Name:MAYER, RYANN ELIZBETH (MPS, RDN, LDN, CSP)
Entity type:Individual
Prefix:
First Name:RYANN
Middle Name:ELIZBETH
Last Name:MAYER
Suffix:
Gender:F
Credentials:MPS, RDN, LDN, CSP
Other - Prefix:
Other - First Name:RYANN
Other - Middle Name:E
Other - Last Name:DIEHL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN, LDN
Mailing Address - Street 1:1603 CAPITOL AVE STE 411
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-4541
Mailing Address - Country:US
Mailing Address - Phone:484-888-8545
Mailing Address - Fax:
Practice Address - Street 1:1603 CAPITOL AVE STE 411F
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-4569
Practice Address - Country:US
Practice Address - Phone:484-888-8545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-14
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX3673133VN1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric