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NPI Code Detail

MEDICARE: MS. BERTHA GUNYON MEYER RN, MA

MEDICARE: MS. BERTHA GUNYON MEYER RN, MA
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
1101YP1600XPastoral CounselorIN PROCESS
2163WP1700XPerinatal Registered Nurse28065048AIN

General Provider Information

NPI Number : 1215097670
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BERTHA GUNYON MEYER RN, MA
Provider Business Mailing Address
First Line : 5054 W 13TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46224-6522
Country : US
Telephone Number : 317-247-8164
Fax Number : 317-962-2678
Provider Business Practice Location Address
First Line : 1701 SENATE BLVD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-1239
Country : US
Telephone Number : 317-962-8191
Fax Number : 317-962-2678
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2006
Last Update Date : 09/11/2025

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