Healthcare Provider Details

I. General information

NPI: 1063224921
Provider Name (Legal Business Name): ANA CAROLINA MEYER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5520 PARK AVE
TRUMBULL CT
06611-3463
US

IV. Provider business mailing address

5520 PARK AVE
TRUMBULL CT
06611-3463
US

V. Phone/Fax

Practice location:
  • Phone: 203-502-8400
  • Fax:
Mailing address:
  • Phone: 203-502-8400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number15232
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAP61652366
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: