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NPI Code Detail

MEDICARE: JOSEPH M MEYSTRIK FNP

MEDICARE: JOSEPH M MEYSTRIK 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
1363LF0000XFamily Nurse Practitioner2013003461MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1431560263OTHERMOTRICARE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3P01173069OTHERMORR MCR

General Provider Information

NPI Number : 1982943502
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH M MEYSTRIK FNP
Provider Business Mailing Address
First Line : 306 BUSCH RD
Second Line :
City : JEFFERSON CITY
State : MO
Zip : 65101-8479
Country : US
Telephone Number : 417-818-5184
Fax Number :
Provider Business Practice Location Address
First Line : 304A E 4TH ST
Second Line :
City : ELDON
State : MO
Zip : 65026-1808
Country : US
Telephone Number : 573-392-5654
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2013
Last Update Date : 08/02/2024

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Directions to “ JOSEPH M MEYSTRIK FNP” Practice Location

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