Individual
JANET MEREDITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
31 N SAINT JOSEPH AVE, NILES, MI 49120-2207
(269) 683-5510
Mailing address
104 SONG SPARROW TRL, NILES, MI 49120-4987
(269) 687-2731
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4704232780
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704232780
REGISTERED NURSE LICENSE
MI
Enumeration date
09/21/2006
Last updated
07/08/2007
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