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NPI Code Detail

MEDICARE: MARIA C MEYER ANP

MEDICARE:   MARIA C MEYER  ANP
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
1363LA2200XAdult Health Nurse Practitioner0024166258VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1VAA101132OTHERVAMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184779647
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA C MEYER ANP
Provider Business Mailing Address
First Line : 10508 WAKEMAN DR
Second Line :
City : FREDERICKSBURG
State : VA
Zip : 22407-8040
Country : US
Telephone Number : 540-710-9340
Fax Number :
Provider Business Practice Location Address
First Line : 10508 WAKEMAN DR
Second Line :
City : FREDERICKSBURG
State : VA
Zip : 22407-8040
Country : US
Telephone Number : 540-710-9340
Fax Number : 540-710-2580
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 09/25/2014

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Directions to “ MARIA C MEYER ANP” Practice Location

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