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NPI Code Detail

MEDICARE: EDWARD E MEIXNER JR.

MEDICARE: EDWARD E MEIXNER JR.
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
1363LF0000XFamily Nurse Practitioner2022023169MO

General Provider Information

NPI Number : 1144955741
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD E MEIXNER JR.
Provider Business Mailing Address
First Line : PO BOX 801143
Second Line :
City : KANSAS CITY
State : MO
Zip : 64180-1143
Country : US
Telephone Number : 573-331-5583
Fax Number : 573-331-5079
Provider Business Practice Location Address
First Line : 3250 GORDONVILLE RD STE 301
Second Line :
City : CAPE GIRARDEAU
State : MO
Zip : 63703-5095
Country : US
Telephone Number : 573-334-9641
Fax Number : 573-331-4130
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2022
Last Update Date : 12/04/2025

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Directions to “ EDWARD E MEIXNER JR. ” Practice Location

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