Individual
WANDA J MEYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1117 E HOME RD, SPRINGFIELD, OH 45503-2725
(937) 342-1619
Mailing address
PO BOX 734439, CHICAGO, IL 60673-4439
(614) 383-6450
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG06250153
OH
363LP2300X
Primary Care Nurse Practitioner
AG06250153
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143120
—
OH
Enumeration date
04/11/2007
Last updated
01/15/2026
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