Provider Demographics
NPI:1083490643
Name:PRESS, MEREDITH ASHLEY (APRN)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:ASHLEY
Last Name:PRESS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9637 NW 76TH CT
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-1978
Mailing Address - Country:US
Mailing Address - Phone:954-478-5042
Mailing Address - Fax:
Practice Address - Street 1:9637 NW 76TH CT
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-1978
Practice Address - Country:US
Practice Address - Phone:954-478-5042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11028463363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health