Provider Demographics
NPI:1295201077
Name:MEIER, NANCY JO (DNP, APRN-BC)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:JO
Last Name:MEIER
Suffix:
Gender:F
Credentials:DNP, APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 6TH ST
Mailing Address - Street 2:
Mailing Address - City:GERING
Mailing Address - State:NE
Mailing Address - Zip Code:69341-2922
Mailing Address - Country:US
Mailing Address - Phone:308-436-7619
Mailing Address - Fax:308-632-0415
Practice Address - Street 1:1601 E 27TH ST
Practice Address - Street 2:
Practice Address - City:SCOTTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361-1815
Practice Address - Country:US
Practice Address - Phone:308-632-0410
Practice Address - Fax:308-632-0415
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-18
Last Update Date:2018-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111475363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health