Provider Demographics
NPI:1275012858
Name:MEYERS, ESTHER (APN)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:
Last Name:MEYERS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 KIERSTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-2574
Mailing Address - Country:US
Mailing Address - Phone:973-979-3426
Mailing Address - Fax:
Practice Address - Street 1:311 BAY AVE STE 100
Practice Address - Street 2:
Practice Address - City:GLEN RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07028-1575
Practice Address - Country:US
Practice Address - Phone:551-996-9250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-14
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR14394000163W00000X
NJ26NJ00871500363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse