Individual
MICHELLE MARTINE MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
7243 SAWMILL RD STE 105, DUBLIN, OH 43016
(614) 389-3814
(614) 389-3841
Mailing address
7243 SAWMILL RD STE 105, DUBLIN, OH 43016-5005
(614) 389-3814
(614) 389-3841
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN.15910
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.15910
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104001
—
OH
01
—
1568975795
GROUP (PRACTICE) NPI
OH
01
—
H579200
MEDICARE GRP PTAN
OH
01
—
H5979201
MEDICARE IND PTAN
OH
Enumeration date
05/28/2014
Last updated
02/05/2023
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