Doctor Name: | MS. BARBARA WARD MERIDETH |
NPI Number: | 1457352742 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, CS, FNP |
License Number: | 108441 |
Business Practice Address: | 907 E Reed St Hayti, MO - 638511242 |
Business Phone Number: | 5733593660 |
Business Fax Number: | 5733593521 |
Mailing Address: | 249 County Highway 534, CARUTHERSVILLE |
State: | MO |
Postal Code: | 638309170 |
Phone Number: | 5733332654 |
Fax Number: | |
NPI Enumeration Date: | 08/09/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 108441 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |