Basic Information
Provider Information
NPI: 1417353939
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MEYER
FirstName: NANCY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
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OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 237 WILLIAM HOWARD TAFT, PHYS DIV
Address2: 2ND FL., CBO2-3, ATTN: CREDENTIALING
City: CINCINNATI
State: OH
PostalCode: 452192610
CountryCode: US
TelephoneNumber: 5132638571
FaxNumber: 5133664480
Practice Location
Address1: 2123 AUBURN AVE
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452192906
CountryCode: US
TelephoneNumber: 5137217373
FaxNumber: 5139774253
Other Information
ProviderEnumerationDate: 11/11/2014
LastUpdateDate: 12/09/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XCOA.16716-NPOHN Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363LA2100XCOA.16716-NPOHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


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