Provider Demographics
NPI:1417078239
Name:MEYER, MARY M (WHNP)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:M
Last Name:MEYER
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9745 N 90TH PL
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5066
Mailing Address - Country:US
Mailing Address - Phone:480-661-1485
Mailing Address - Fax:480-661-1495
Practice Address - Street 1:9745 N 90TH PL
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5066
Practice Address - Country:US
Practice Address - Phone:480-661-1485
Practice Address - Fax:480-661-1495
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZRN067041363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology