Provider Demographics
NPI:1689607475
Name:MEISTER, EMILY M (ANP)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:M
Last Name:MEISTER
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:HEMPSTEAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP
Mailing Address - Street 1:618 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CORSICANA
Mailing Address - State:TX
Mailing Address - Zip Code:75110-3028
Mailing Address - Country:US
Mailing Address - Phone:903-872-2151
Mailing Address - Fax:903-872-0126
Practice Address - Street 1:618 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CORSICANA
Practice Address - State:TX
Practice Address - Zip Code:75110-3028
Practice Address - Country:US
Practice Address - Phone:903-872-2151
Practice Address - Fax:903-872-0126
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX430970363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX044365703Medicaid
TX8D9006Medicare ID - Type Unspecified