Provider Demographics
NPI:1497408033
Name:MEYER, SATOSHIA R (FNP-C)
Entity Type:Individual
Prefix:
First Name:SATOSHIA
Middle Name:R
Last Name:MEYER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8034 MCVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41005-8677
Mailing Address - Country:US
Mailing Address - Phone:513-432-8452
Mailing Address - Fax:
Practice Address - Street 1:8034 MCVILLE RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:KY
Practice Address - Zip Code:41005-8677
Practice Address - Country:US
Practice Address - Phone:513-432-8452
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-03
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1150149163W00000X
KY3017356363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse