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1578023180

NPI Code Detail

MEDICARE: NICHOLAS DAVID MEYERS MD

MEDICARE: NICHOLAS DAVID MEYERS MD

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	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician	MD70036148	WA
2	2084N0400X	Neurology Physician	MD70036148	WA
3	2084E0001X	Epilepsy Physician	MD70036148	WA

General Provider Information

NPI Number	:	1578023180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS DAVID MEYERS MD

Provider Business Mailing Address
First Line	:	PO BOX 50095
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98145-5095
Country	:	US
Telephone Number	:	206-520-5700
Fax Number	:

Provider Business Practice Location Address
First Line	:	1959 NE PACIFIC ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98195-0001
Country	:	US
Telephone Number	:	206-520-5000
Fax Number	:

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

Provider Enumeration Date	:	03/20/2019
Last Update Date	:	01/22/2026

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Directions to “ NICHOLAS DAVID MEYERS MD” Practice Location

Language	Start Address	Practice Location

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