Individual
MEREDITH L DRVARIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP-FNP, FNP-BC, RN
Contact information
Practice address
6425 W MEQUON RD, MEQUON, WI 53092-1862
(262) 387-8200
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8869-33
WI
363LF0000X
Family Nurse Practitioner
8869-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100083163
—
WI
05
—
1417425349
—
WI
Enumeration date
11/08/2018
Last updated
07/17/2024
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