Provider Demographics
NPI:1619582061
Name:MEIS, ANGEL LEE
Entity Type:Individual
Prefix:MRS
First Name:ANGEL
Middle Name:LEE
Last Name:MEIS
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 1:517 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-2866
Mailing Address - Country:US
Mailing Address - Phone:541-515-4572
Mailing Address - Fax:
Practice Address - Street 1:517 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-2866
Practice Address - Country:US
Practice Address - Phone:541-515-4572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-12
Last Update Date:2020-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion