Individual
PAULA SUSAN MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3189 LOGAN VALLEY RD, TRAVERSE CITY, MI 49684-4772
(231) 932-1988
(231) 932-7693
Mailing address
4028 S LAKE LEELANAU DR, LAKE LEELANAU, MI 49653-9764
(231) 256-9571
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704121716
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
518789810
—
MI
Enumeration date
05/17/2006
Last updated
06/26/2008
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