Provider Demographics
NPI:1467332908
Name:MEYER, ERIN (RDN)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:MEYER
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8372 W 1075 S
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:IN
Mailing Address - Zip Code:47541-9721
Mailing Address - Country:US
Mailing Address - Phone:812-630-3006
Mailing Address - Fax:
Practice Address - Street 1:8372 W 1075 S
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:IN
Practice Address - Zip Code:47541-9721
Practice Address - Country:US
Practice Address - Phone:812-630-3006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN37001330A133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered