Individual
MEREDITH A MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
3 SHAPE DR, KENNEBUNK, ME 04043-6601
(207) 467-8930
(207) 985-8459
Mailing address
1 MEDICAL CENTER DR, PO BOX 626, BIDDEFORD, ME 04005-9422
(207) 282-9080
(207) 985-8459
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CNP81663
ME
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP81663
ME
363LP0200X
Pediatric Nurse Practitioner
R041189
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30346785
—
NH
05
—
432994999
—
ME
Enumeration date
02/14/2007
Last updated
03/11/2019
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