MEDICARE: AMY SUE MEYERS RN RCS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse	132567-030	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295935229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY SUE MEYERS RN RCS

Provider Business Mailing Address
First Line	:	2109 HARRISON ST
Second Line	:
City	:	OSHKOSH
State	:	WI
Zip	:	54901-1976
Country	:	US
Telephone Number	:	920-420-3851
Fax Number	:

Provider Business Practice Location Address
First Line	:	2109 HARRISON ST
Second Line	:
City	:	OSHKOSH
State	:	WI
Zip	:	54901-1976
Country	:	US
Telephone Number	:	920-420-3851
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2007
Last Update Date	:	01/06/2026

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