Provider Demographics
NPI:1790122810
Name:MEIER, BRIAN PHILIP (CRNA)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:PHILIP
Last Name:MEIER
Suffix:
Gender:M
Credentials:CRNA
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Mailing Address - Street 1:3424 WESTERN GALES
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401
Mailing Address - Country:US
Mailing Address - Phone:870-819-1750
Mailing Address - Fax:501-227-0744
Practice Address - Street 1:2024 ARKANSAS VALLEY DR
Practice Address - Street 2:#202
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72212-4166
Practice Address - Country:US
Practice Address - Phone:501-227-0700
Practice Address - Fax:501-227-0744
Is Sole Proprietor?:No
Enumeration Date:2013-05-30
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARC002975367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered