Individual
MEGAN NICOLE KOISTINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
9040 FITZSIMMONS DR, JOINT BASE LEWIS MCCHORD, WA 98431-1000
(910) 907-6508
Mailing address
1964 CHESAPEAKE RDG, FORT WALTON BEACH, FL 32547-7193
(832) 428-3436
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
L004916
NC
133V00000X
Registered Dietitian
Primary
ND10193
FL
Other
Enumeration date
01/29/2019
Last updated
01/16/2021
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