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NPI Code Detail

MEDICARE: MRS. CECILIA ANNA MARIA MYERS MSN, APRN, PMHNP-BC

MEDICARE: MRS. CECILIA ANNA MARIA MYERS MSN, APRN, PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPN.30025SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15021787OTHERNCNORTH CAROLINA BOARD OF NURSING/MEDICAL BOARD

General Provider Information

NPI Number : 1043017320
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CECILIA ANNA MARIA MYERS MSN, APRN, PMHNP-BC
Provider Business Mailing Address
First Line : 1111 CIRCLE DR
Second Line :
City : MONROE
State : NC
Zip : 28112
Country : US
Telephone Number : 704-764-1818
Fax Number :
Provider Business Practice Location Address
First Line : 1111 CIRCLE DR
Second Line :
City : MONROE
State : NC
Zip : 28112-5834
Country : US
Telephone Number : 704-764-1818
Fax Number : 704-285-2222
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2025
Last Update Date : 05/27/2025

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