MEDICARE: MEAGAN ELIZABETH WILSON MS, RDN, LD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	2957	AR

General Provider Information

NPI Number	:	1922697051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEAGAN ELIZABETH WILSON MS, RDN, LD

Provider Business Mailing Address
First Line	:	2041 EAST ST
Second Line	:
City	:	CONCORD
State	:	CA
Zip	:	94520-2126
Country	:	US
Telephone Number	:	888-837-5325
Fax Number	:

Provider Business Practice Location Address
First Line	:	2041 EAST ST
Second Line	:
City	:	CONCORD
State	:	CA
Zip	:	94520-2126
Country	:	US
Telephone Number	:	888-837-5325
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2021
Last Update Date	:	01/27/2026

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