Individual
MEREDITH MESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 788-4963
Mailing address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 788-4963
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704253125
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704253125
MICHIGAN LICENSE
MI
Enumeration date
07/22/2010
Last updated
03/30/2021
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