Basic Information
| Provider Information | |||||||||
| NPI: | 1740653153 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | VALERIE MEYERS NP ADULT HEALTH PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 91 | ||||||||
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| City: | WATERTOWN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 136010091 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3157824207 | ||||||||
| FaxNumber: | 3157828699 | ||||||||
| Practice Location | |||||||||
| Address1: | 662 S MAIN ST | ||||||||
| Address2: | UNIT 5 | ||||||||
| City: | CENTRAL SQUARE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 130363524 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3156685010 | ||||||||
| FaxNumber: | 3156681940 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/06/2015 | ||||||||
| LastUpdateDate: | 03/31/2020 | ||||||||
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| AuthorizedOfficialLastName: | MEYERS | ||||||||
| AuthorizedOfficialFirstName: | VALERIE | ||||||||
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| AuthorizedOfficialTitleorPosition: | NURSE PRACTITIONER IN ADULT HEALTH | ||||||||
| AuthorizedOfficialTelephone: | 3156685010 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | ANP | ||||||||
| NPICertificationDate: | 03/31/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2200X | 301393 | NY | Y | 193400000X SINGLE SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health |
No ID Information.