Provider Demographics
NPI:1578217857
Name:MEYER, MICHAELA ANNE (ARNP)
Entity Type:Individual
Prefix:MS
First Name:MICHAELA
Middle Name:ANNE
Last Name:MEYER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:563-362-3052
Mailing Address - Fax:563-362-3059
Practice Address - Street 1:2705 E 53RD ST
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52807-3008
Practice Address - Country:US
Practice Address - Phone:563-362-3052
Practice Address - Fax:563-362-3059
Is Sole Proprietor?:No
Enumeration Date:2022-02-07
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA167339363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily