Individual
NATHAN P MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5357
(573) 632-5841
Mailing address
1810 DEVONSHIRE CIR # B, HOLTS SUMMIT, MO 65043-2067
(573) 896-4399
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2001019766
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077061
CRNA CERTIFICATION
MO
Enumeration date
02/23/2007
Last updated
10/06/2007
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