Provider Demographics
NPI:1710879887
Name:CARSON, MEGAN (IHP, HHP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:CARSON
Suffix:
Gender:F
Credentials:IHP, HHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 HYATT AVE #B2
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06850
Mailing Address - Country:US
Mailing Address - Phone:570-852-9419
Mailing Address - Fax:
Practice Address - Street 1:123 WATER ST APT 320
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06854-3176
Practice Address - Country:US
Practice Address - Phone:570-852-9419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist