Individual
DIANA L MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3949 EVANS AVE, STE 102, FORT MYERS, FL 33901-9335
(239) 939-2622
(239) 939-0151
Mailing address
11015 SEMINOLE PALM WAY, FT MYERS, FL 33966
(239) 275-5938
(239) 634-2266
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9198103
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G3323
BC/BS FL
FL
01
—
P00066229
RAILROAD MEDICARE
—
Enumeration date
02/16/2006
Last updated
08/07/2008
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