Doctor Name: | MRS. MICHELE E MEREDITH |
NPI Number: | 1073850798 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 28157127A |
Business Practice Address: | 710 N East St Wabash, IN - 469921914 |
Business Phone Number: | 2605692169 |
Business Fax Number: | 2605692168 |
Mailing Address: | 710 N East St, WABASH |
State: | IN |
Postal Code: | 469921914 |
Phone Number: | 2605692169 |
Fax Number: | 2605692168 |
NPI Enumeration Date: | 01/15/2013 |
NPI Last Update Date: | 06/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 28157127A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |