Individual
MRS. MICHELLE MARIE MEYER-BAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
5936 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2163
(804) 739-2412
(804) 739-2414
Mailing address
2802 AUTUMN WOODS CIR, MIDLOTHIAN, VA 23112-4218
(804) 739-2412
(804) 739-2414
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
0024164681
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAA104644
PTAN
VA
Enumeration date
06/06/2006
Last updated
12/11/2013
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