Individual
TRACIE KAY MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP-BC
Contact information
Practice address
8626 E 116TH ST STE 200, FISHERS, IN 46038-2853
(815) 263-6149
(877) 471-0404
Mailing address
8626 E 116TH ST STE 200, FISHERS, IN 46038-2853
(815) 263-6149
(877) 471-0404
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
71004674A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71004674A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201206290
—
IN
Enumeration date
05/13/2013
Last updated
05/28/2025
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