Healthcare Provider Details

I. General information

NPI: 1962202630
Provider Name (Legal Business Name): MS. ZIVA NEVAEH MEYER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2025
Last Update Date: 06/14/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23951 LAKE SHORE BLVD APT 801
EUCLID OH
44123-4270
US

IV. Provider business mailing address

23951 LAKE SHORE BLVD APT 801
EUCLID OH
44123-4270
US

V. Phone/Fax

Practice location:
  • Phone: 484-639-9224
  • Fax: 484-639-9224
Mailing address:
  • Phone: 484-639-9224
  • Fax: 484-639-9224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberPRS.008017
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: