Doctor Name: | MRS. MEGAN MARIE ELLISON |
NPI Number: | 1588968648 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD, CDE |
License Number: | DI 60178596 |
Business Practice Address: | 3203 206th Pl Sw Lynnwood, WA - 980367817 |
Business Phone Number: | 2069141904 |
Business Fax Number: | 4253543544 |
Mailing Address: | 3203 206th Pl Sw, LYNNWOOD |
State: | WA |
Postal Code: | 980367817 |
Phone Number: | 2069141904 |
Fax Number: | 4253543544 |
NPI Enumeration Date: | 01/04/2011 |
NPI Last Update Date: | 01/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DI 60178596 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |