Provider Demographics
NPI:1588461107
Name:MEYER, ANABELLE YANEZ (NP, FNP-C)
Entity type:Individual
Prefix:
First Name:ANABELLE
Middle Name:YANEZ
Last Name:MEYER
Suffix:
Gender:F
Credentials:NP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 SEQUOIA CIR
Mailing Address - Street 2:
Mailing Address - City:FORT BRAGG
Mailing Address - State:CA
Mailing Address - Zip Code:95437-5490
Mailing Address - Country:US
Mailing Address - Phone:707-964-0259
Mailing Address - Fax:
Practice Address - Street 1:850 SEQUOIA CIR
Practice Address - Street 2:
Practice Address - City:FORT BRAGG
Practice Address - State:CA
Practice Address - Zip Code:95437-5490
Practice Address - Country:US
Practice Address - Phone:707-964-0259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-01
Last Update Date:2025-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95037159163W00000X
CA95035810363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse