Provider Demographics
NPI:1437852621
Name:MEKA, ERIN (RN, CLC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:MEKA
Suffix:
Gender:F
Credentials:RN, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W332N5515 SOLVESON DR
Mailing Address - Street 2:
Mailing Address - City:NASHOTAH
Mailing Address - State:WI
Mailing Address - Zip Code:53058-9759
Mailing Address - Country:US
Mailing Address - Phone:262-470-1471
Mailing Address - Fax:
Practice Address - Street 1:W332N5515 SOLVESON DR
Practice Address - Street 2:
Practice Address - City:NASHOTAH
Practice Address - State:WI
Practice Address - Zip Code:53058-9759
Practice Address - Country:US
Practice Address - Phone:262-470-1471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI320278163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant