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NPI Code Detail

MEDICARE: DR. MEATERAN A FUNWI DNP

MEDICARE: DR. MEATERAN A FUNWI DNP
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 PractitionerR238827.MD
2363LP0808XPsychiatric/Mental Health Nurse PractitionerNP500007332DC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407522451
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MEATERAN A FUNWI DNP
Provider Business Mailing Address
First Line : 17498 IRISHTOWN RD
Second Line :
City : EMMITSBURG
State : MD
Zip : 21727-9275
Country : US
Telephone Number : 301-401-0196
Fax Number :
Provider Business Practice Location Address
First Line : 620 JHN PAUL JNS CIR
Second Line :
City : PORTSMOUTH
State : VA
Zip : 23708-2111
Country : US
Telephone Number : 757-953-5269
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2021
Last Update Date : 05/28/2026

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