Healthcare Provider Details

I. General information

NPI: 1811042831
Provider Name (Legal Business Name): VANESSA CAMILLE MEIER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

256 24TH ST
RICHMOND CA
94804-1804
US

IV. Provider business mailing address

1111 JAMES DONLON BLVD APT 2036
ANTIOCH CA
94509-7030
US

V. Phone/Fax

Practice location:
  • Phone: 510-374-3420
  • Fax: 510-374-3692
Mailing address:
  • Phone: 925-864-6743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number566999
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: