Provider Demographics
NPI:1154442580
Name:MEYER, RENAE MARIE (DO)
Entity Type:Individual
Prefix:MRS
First Name:RENAE
Middle Name:MARIE
Last Name:MEYER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E DECATUR ST
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:NE
Mailing Address - Zip Code:68788-1566
Mailing Address - Country:US
Mailing Address - Phone:402-372-2477
Mailing Address - Fax:402-372-6770
Practice Address - Street 1:500 E DECATUR ST
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:NE
Practice Address - Zip Code:68788-1566
Practice Address - Country:US
Practice Address - Phone:402-372-2477
Practice Address - Fax:402-372-6770
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE613207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine