Individual
MEAGAN A COON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
148 W RIVER ST, PROVIDENCE, RI 02904-2615
(401) 793-7817
Mailing address
148 W RIVER ST, PROVIDENCE, RI 02904-2615
(401) 793-7817
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
5000
MA
133V00000X
Registered Dietitian
Primary
LDN01050
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LDN01050
STATE LICENSE
RI
Enumeration date
01/24/2020
Last updated
01/13/2022
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