Healthcare Provider Details

I. General information

NPI: 1720139066
Provider Name (Legal Business Name): PATRICIA A MEISTER MA, APRN, BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 S VILLAGE AVE
EXTON PA
19341-1213
US

IV. Provider business mailing address

30 S VILLAGE AVE
EXTON PA
19341-1213
US

V. Phone/Fax

Practice location:
  • Phone: 610-594-1840
  • Fax:
Mailing address:
  • Phone: 610-594-1840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberRN263949L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCS19613001
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: