Provider Demographics
NPI:1497062863
Name:MEYER, JUDITH W (APRN)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:W
Last Name:MEYER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 S W COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66621
Mailing Address - Country:US
Mailing Address - Phone:785-670-1470
Mailing Address - Fax:785-670-1029
Practice Address - Street 1:1700 S W COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66621
Practice Address - Country:US
Practice Address - Phone:785-670-1470
Practice Address - Fax:785-670-1029
Is Sole Proprietor?:No
Enumeration Date:2010-09-08
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5375220111363LA2200X
KS75220363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health