Healthcare Provider Details

I. General information

NPI: 1558040915
Provider Name (Legal Business Name): MORGAN PAIGE MEYERS RDN, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2023
Last Update Date: 07/13/2023
Certification Date: 07/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 VAN BUREN ST
ANNAPOLIS MD
21403-2124
US

IV. Provider business mailing address

110 ARROWHEAD DR
MILLERSVILLE MD
21108-1803
US

V. Phone/Fax

Practice location:
  • Phone: 410-267-8653
  • Fax:
Mailing address:
  • Phone: 724-714-5772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDX4993
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: