Individual
JOAN MEYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
726 GAIL GARDNER WAY, PRESCOTT, AZ 86305-2337
(928) 445-5211
(928) 445-5189
Mailing address
726 GAIL GARDNER WAY, PRESCOTT, AZ 86305-2337
(928) 445-5211
(928) 445-5189
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AZ1390
AZ
363LF0000X
Family Nurse Practitioner
AP1204
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110255
—
AZ
Enumeration date
06/29/2006
Last updated
04/08/2025
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