Doctor Name: | CLEA K. MEFFORD |
NPI Number: | 1356678106 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN MSN CRNP |
License Number: | NP-895A |
Business Practice Address: | 1408 Pomerelle Ave # H Burley, ID - 833182064 |
Business Phone Number: | 2088784970 |
Business Fax Number: | 2088784974 |
Mailing Address: | 1408 Pomerelle Ave # H, BURLEY |
State: | ID |
Postal Code: | 833182064 |
Phone Number: | 2088784970 |
Fax Number: | 2088784974 |
NPI Enumeration Date: | 11/13/2009 |
NPI Last Update Date: | 03/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | NP-895A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |