Provider Demographics
NPI:1760236251
Name:MYERS, DREMA KAY
Entity Type:Individual
Prefix:
First Name:DREMA
Middle Name:KAY
Last Name:MYERS
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 1:13878 STATE ROUTE 364
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:OH
Mailing Address - Zip Code:45885-9429
Mailing Address - Country:US
Mailing Address - Phone:419-305-1333
Mailing Address - Fax:419-300-8773
Practice Address - Street 1:13878 STATE ROUTE 364
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:OH
Practice Address - Zip Code:45885-9429
Practice Address - Country:US
Practice Address - Phone:419-305-1333
Practice Address - Fax:419-300-8773
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker