Provider Demographics
NPI:1407905631
Name:MEISTER, THERESA ANN (RN)
Entity Type:Individual
Prefix:
First Name:THERESA
Middle Name:ANN
Last Name:MEISTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11721 POINT OVERLOOK PL
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-4525
Mailing Address - Country:US
Mailing Address - Phone:440-846-9555
Mailing Address - Fax:
Practice Address - Street 1:11721 POINT OVERLOOK PL
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-4525
Practice Address - Country:US
Practice Address - Phone:440-846-9555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN283592163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2215712Medicaid