Provider Demographics
NPI:1598307506
Name:MEYER, MONICA ELLEN
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:ELLEN
Last Name:MEYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18201 NE CEDAR DR
Mailing Address - Street 2:
Mailing Address - City:BATTLE GROUND
Mailing Address - State:WA
Mailing Address - Zip Code:98604-9250
Mailing Address - Country:US
Mailing Address - Phone:360-904-8938
Mailing Address - Fax:
Practice Address - Street 1:18201 NE CEDAR DR
Practice Address - Street 2:
Practice Address - City:BATTLE GROUND
Practice Address - State:WA
Practice Address - Zip Code:98604-9250
Practice Address - Country:US
Practice Address - Phone:360-904-8938
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-10
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA373H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist