Healthcare Provider Details

I. General information

NPI: 1720467376
Provider Name (Legal Business Name): TAMARA J MEIER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2015
Last Update Date: 05/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 10TH ST SE
CEDAR RAPIDS IA
52403-1251
US

IV. Provider business mailing address

6300 RIDGLEA PLACE SUITE 201
FORT WORTH TX
76116-5707
US

V. Phone/Fax

Practice location:
  • Phone: 817-451-4208
  • Fax: 817-563-3699
Mailing address:
  • Phone: 817-451-4208
  • Fax: 817-563-3699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0404
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: