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General NPI Number Information
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NPI Number | 1679951107
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Entity Type | Individual
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Provider Name | NICHOLAS MEINHARDT MD
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Gender | Male
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Dates
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Enumeration Date | 05/17/2015
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 4800 SAND POINT WAY NE
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City | SEATTLE
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State | WA
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Zip | 98105-3901
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Country | US
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Telephone | 207-987-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 LEWIS AVE STE 102
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City | BILLINGS
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State | MT
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Zip | 59102-4182
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 60849311
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 222922
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 141019
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License Number State | MT
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