MEDICARE: ERICA MEYER NP

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	363LP0200X	Pediatric Nurse Practitioner	F381627	NY
2	363LP0200X	Pediatric Nurse Practitioner	R205897	MD

General Provider Information

NPI Number	:	1689675381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA MEYER NP

Provider Business Mailing Address
First Line	:	504 E RIDGEVILLE BLVD STE 110
Second Line	:
City	:	MOUNT AIRY
State	:	MD
Zip	:	21771-5942
Country	:	US
Telephone Number	:	301-846-0300
Fax Number	:	410-601-4938

Provider Business Practice Location Address
First Line	:	504 E RIDGEVILLE BLVD STE 110
Second Line	:
City	:	MOUNT AIRY
State	:	MD
Zip	:	21771-5942
Country	:	US
Telephone Number	:	410-871-6831
Fax Number	:	410-601-4938

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

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	08/26/2025

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