Provider Demographics
NPI:1114986767
Name:MEIER, CYNTHIA J (ARNP)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:J
Last Name:MEIER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 961
Mailing Address - Street 2:
Mailing Address - City:YACHATS
Mailing Address - State:OR
Mailing Address - Zip Code:97498-0961
Mailing Address - Country:US
Mailing Address - Phone:772-532-4299
Mailing Address - Fax:772-264-0217
Practice Address - Street 1:924 HANLEY DR
Practice Address - Street 2:
Practice Address - City:YACHATS
Practice Address - State:OR
Practice Address - Zip Code:97498-9495
Practice Address - Country:US
Practice Address - Phone:772-532-4299
Practice Address - Fax:772-595-1852
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-22
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2626912363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL303336800Medicaid
FLP09758Medicare UPIN