Healthcare Provider Details

I. General information

NPI: 1316590888
Provider Name (Legal Business Name): MONICA LAUREL MEYER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MONICA LAUREL PORTER

II. Dates (important events)

Enumeration Date: 07/23/2019
Last Update Date: 07/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 E CHERRY CREEK SOUTH DR STE 710
DENVER CO
80246-1534
US

IV. Provider business mailing address

12611 W 84TH CIR
ARVADA CO
80005-5153
US

V. Phone/Fax

Practice location:
  • Phone: 303-432-8487
  • Fax: 855-937-5828
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN.0150450
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: