MEDICARE: KEITH A MEIER N.P.

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
1	363L00000X	Nurse Practitioner	76892	CO

General Provider Information

NPI Number	:	1386850915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEITH A MEIER N.P.

Provider Business Mailing Address
First Line	:	5080 SPECTRUM DR
Second Line	:	SUITE 1200 WEST
City	:	ADDISON
State	:	TX
Zip	:	75001-4648
Country	:	US
Telephone Number	:	972-364-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2620 E PROSPECT RD
Second Line	:	SUITE 160
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-9098
Country	:	US
Telephone Number	:	615-778-4066
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	10/20/2009

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