Doctor Name: | MEREDITH STRICKLAND GENETSKI |
NPI Number: | 1134461551 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 1-122111 |
Business Practice Address: | 1965 1st Ave Opelika, AL - 368015403 |
Business Phone Number: | 3347050012 |
Business Fax Number: | |
Mailing Address: | 1965 1st Ave, OPELIKA |
State: | AL |
Postal Code: | 368015403 |
Phone Number: | 3347050012 |
Fax Number: | |
NPI Enumeration Date: | 03/24/2013 |
NPI Last Update Date: | 11/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1-122111 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |