Provider Demographics
NPI:1598308280
Name:MEINS, CARA R (ARNP)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:R
Last Name:MEINS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2438 BLYBURG RD
Mailing Address - Street 2:
Mailing Address - City:HOMER
Mailing Address - State:NE
Mailing Address - Zip Code:68030-3025
Mailing Address - Country:US
Mailing Address - Phone:712-898-9997
Mailing Address - Fax:712-546-3352
Practice Address - Street 1:714 LINCOLN ST NE
Practice Address - Street 2:
Practice Address - City:LE MARS
Practice Address - State:IA
Practice Address - Zip Code:51031-3314
Practice Address - Country:US
Practice Address - Phone:712-546-3398
Practice Address - Fax:712-546-3352
Is Sole Proprietor?:No
Enumeration Date:2019-10-24
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA156613363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily