Provider Demographics
NPI:1639896665
Name:AN, MEIQI (RN)
Entity Type:Individual
Prefix:
First Name:MEIQI
Middle Name:
Last Name:AN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MEIQI
Other - Middle Name:
Other - Last Name:AN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11611 WESTVIEW PKWY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-5500
Mailing Address - Country:US
Mailing Address - Phone:619-709-0052
Mailing Address - Fax:
Practice Address - Street 1:9728 WINTER GARDENS BLVD
Practice Address - Street 2:
Practice Address - City:LAKESIDE
Practice Address - State:CA
Practice Address - Zip Code:92040-3809
Practice Address - Country:US
Practice Address - Phone:619-938-0069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-20
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY351848363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily