Basic Information
| Provider Information | |||||||||
| NPI: | 1457397275 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MEERT | ||||||||
| FirstName: | ARNOLD | ||||||||
| MiddleName: | JOHN | ||||||||
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| Credential: | CRNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 4518 | ||||||||
| Address2: | |||||||||
| City: | STATELINE | ||||||||
| State: | NV | ||||||||
| PostalCode: | 894494518 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8666403005 | ||||||||
| FaxNumber: | 8666403006 | ||||||||
| Practice Location | |||||||||
| Address1: | 7500 TIMBERLAKE WAY | ||||||||
| Address2: | METHODIST HOSPITAL | ||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958235417 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9164233000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/21/2006 | ||||||||
| LastUpdateDate: | 01/03/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN244086 | CA | N | Nursing Service Providers | Registered Nurse | 163W00000X | RN 60633 | HI | N | Nursing Service Providers | Registered Nurse | 367500000X | APRN 990 | HI | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered | 367500000X | NA242 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
ID Information
| ID | Type | State | Issuer | Description | APRN 990 | 01 | HI | HAWAII ADVANCE PRACTICE L | OTHER | RN 60633 | 01 | HI | HAWAII RN LICNESE | OTHER | NA242 | 01 | CA | STATE LICENSE | OTHER | RN244086 | 01 | CA | STATE LICENSE | OTHER |