Healthcare Provider Details

I. General information

NPI: 1306273834
Provider Name (Legal Business Name): STEFANIE LYNN MEYER APRN, CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEFANIE LYNN WETTERAU

II. Dates (important events)

Enumeration Date: 09/30/2013
Last Update Date: 09/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2139 AUBURN AVE 3147 PALLIATIVE CARE
CINCINNATI OH
45219-2906
US

IV. Provider business mailing address

2139 AUBURN AVE 3147 PALLIATIVE CARE
CINCINNATI OH
45219-2906
US

V. Phone/Fax

Practice location:
  • Phone: 513-585-4157
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SG0600X
TaxonomyGerontology Clinical Nurse Specialist
License NumberCOA15121-NS
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: