Healthcare Provider Details

I. General information

NPI: 1811708258
Provider Name (Legal Business Name): NATALIE MICHELLE MEYER WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2025
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 REID PKWY STE 220
RICHMOND IN
47374-1160
US

IV. Provider business mailing address

11361 HOUGH RD
FOUNTAIN CITY IN
47341-9762
US

V. Phone/Fax

Practice location:
  • Phone: 765-962-9541
  • Fax: 765-966-5952
Mailing address:
  • Phone: 765-914-6164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number2823152A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: