Individual
DEBORAH KAY MEEKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
26900 CEDAR RD, CCF-BEACHWOOD - INTERNAL MEDICINE - 22N, BEACHWOOD, OH 44122-1191
(216) 839-3350
(216) 839-3353
Mailing address
26900 CEDAR RD, CCF-BEACHWOOD - INTERNAL MEDICINE - 22N, BEACHWOOD, OH 44122-1191
(216) 839-3350
(216) 839-3353
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP12932
OH
363LF0000X
Family Nurse Practitioner
RN28818
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0059902
—
OH
01
—
3601801
MEDICARE ID TYPE UNSPECIFIED
OH
05
—
4300192
—
MT
01
—
810348783
BILLING TAX I.D.
MT
Enumeration date
10/31/2005
Last updated
08/09/2012
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