Individual
RAEANN T MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
350 W 23RD ST, FREMONT, NE 68025-2592
(402) 721-5727
Mailing address
350 W 23RD ST, FREMONT, NE 68025-2592
(402) 721-5727
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1308
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4708191541
—
NE
01
—
P00610473
RR MEDICARE
NE
Enumeration date
10/26/2006
Last updated
03/17/2018
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