Healthcare Provider Details

I. General information

NPI: 1447304670
Provider Name (Legal Business Name): CYNTHIA C METEYER N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

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

1200 E MICHIGAN AVE STE 145
LANSING MI
48912-1800
US

IV. Provider business mailing address

D128 W FEE HALL
EAST LANSING MI
48824-1315
US

V. Phone/Fax

Practice location:
  • Phone: 517-364-5440
  • Fax: 517-364-5466
Mailing address:
  • Phone: 517-355-3503
  • Fax: 517-432-1167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number4704219890
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: