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NPI Code Detail

MEDICARE: LETITIA ELIZABETH MEYER NP

MEDICARE: LETITIA ELIZABETH MEYER NP
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
1363LF0000XFamily Nurse Practitioner10150AZ

General Provider Information

NPI Number : 1467978189
Entity Type Code : Individual
Provider Name (Legal Business Name) : LETITIA ELIZABETH MEYER NP
Provider Business Mailing Address
First Line : 7513 E POLK ST
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85257-4357
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 60 E RIO SALADO PKWY STE 900
Second Line :
City : TEMPE
State : AZ
Zip : 85281-9126
Country : US
Telephone Number : 602-269-6011
Fax Number : 602-926-2551
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2017
Last Update Date : 01/13/2022

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