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NPI Code Detail

MEDICARE: ROBERT OLIVER MEYER FNP

MEDICARE: ROBERT OLIVER MEYER FNP
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
1363L00000XNurse Practitioner990053CO
2363LF0000XFamily Nurse Practitioner2011016046MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1164026OTHERCOACTIVE REGISTERED NURSE

General Provider Information

NPI Number : 1669775771
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT OLIVER MEYER FNP
Provider Business Mailing Address
First Line : PO BOX 1500
Second Line :
City : OSAGE BEACH
State : MO
Zip : 65065-1500
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1930 N BUSINESS ROUTE 5
Second Line : UNIT 1A
City : CAMDENTON
State : MO
Zip : 65020-2659
Country : US
Telephone Number : 573-346-5624
Fax Number : 573-346-1957
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2010
Last Update Date : 06/28/2023

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Directions to “ ROBERT OLIVER MEYER FNP” Practice Location

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