Provider Demographics
NPI:1598904328
Name:MEYER, ADRIENNE K (CRNA)
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:K
Last Name:MEYER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:ADRIENNE
Other - Middle Name:K
Other - Last Name:MARSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3536
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79604-3536
Mailing Address - Country:US
Mailing Address - Phone:325-673-7367
Mailing Address - Fax:325-672-9869
Practice Address - Street 1:1317 N 8TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-4145
Practice Address - Country:US
Practice Address - Phone:325-673-7367
Practice Address - Fax:325-672-9869
Is Sole Proprietor?:No
Enumeration Date:2009-02-18
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3007908367500000X
TX705446367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered