Healthcare Provider Details

I. General information

NPI: 1780296673
Provider Name (Legal Business Name): STEPHANIE ANN MEYER APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2020
Last Update Date: 11/02/2022
Certification Date: 11/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4310 COOPER RD STE 300
CINCINNATI OH
45242-5613
US

IV. Provider business mailing address

6613 RENWICK CT
WEST CHESTER OH
45069-1483
US

V. Phone/Fax

Practice location:
  • Phone: 513-891-7700
  • Fax:
Mailing address:
  • Phone: 513-910-0507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF06200287
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0027301
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberAPRN.CNP.0027301
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: