Doctor Name: | MISS SUSAN ROSE MEILER |
NPI Number: | 1760460273 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 161068 |
Business Practice Address: | 1060 Gaffney Rd # 7440 Bassett Army Community Hospital Ft Wainwright, AK - 997035001 |
Business Phone Number: | 9073535692 |
Business Fax Number: | 9073534867 |
Mailing Address: | Po Box 35034, FORT WAINWRIGHT |
State: | AK |
Postal Code: | 997030034 |
Phone Number: | 3157710787 |
Fax Number: | 9073534867 |
NPI Enumeration Date: | 01/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 161068 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |