Provider Demographics
NPI:1659840288
Name:BATTY, MEREDITH JOHANNA (CNM)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:JOHANNA
Last Name:BATTY
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:JOHANNA
Other - Last Name:HOREL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1750 THOMPSON RD
Mailing Address - Street 2:
Mailing Address - City:COOS BAY
Mailing Address - State:OR
Mailing Address - Zip Code:97420-2195
Mailing Address - Country:US
Mailing Address - Phone:541-269-0333
Mailing Address - Fax:541-269-7389
Practice Address - Street 1:1750 THOMPSON RD
Practice Address - Street 2:
Practice Address - City:COOS BAY
Practice Address - State:OR
Practice Address - Zip Code:97420-2195
Practice Address - Country:US
Practice Address - Phone:541-269-0333
Practice Address - Fax:541-269-7389
Is Sole Proprietor?:No
Enumeration Date:2018-11-13
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201808320RN163WA0400X
171M00000X
OR202006872NP-PP367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator