Provider Demographics
NPI:1912778366
Name:EOFF, MEGHAN (RDN)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:EOFF
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 1:3465 S GAYLORD CT APT B331
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3175
Mailing Address - Country:US
Mailing Address - Phone:559-593-3446
Mailing Address - Fax:
Practice Address - Street 1:7564 S XENIA CT
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-2730
Practice Address - Country:US
Practice Address - Phone:303-562-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO86176858133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered