Individual
DOROTHY JEAN MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, MPH
Contact information
Practice address
4212 N 16TH STREET, PHOENIX, AZ 85016
(602) 263-1511
(602) 263-1619
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1511
(602) 263-1637
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN 026261 & BN371-51
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470873
—
AZ
01
—
AZ0145960
BCBS
AZ
Enumeration date
11/24/2006
Last updated
07/08/2007
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