Provider Demographics
NPI:1811042831
Name:MEIER, VANESSA CAMILLE (RN)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:CAMILLE
Last Name:MEIER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 JAMES DONLON BLVD APT 2036
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-7030
Mailing Address - Country:US
Mailing Address - Phone:925-864-6743
Mailing Address - Fax:
Practice Address - Street 1:256 24TH ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94804-1804
Practice Address - Country:US
Practice Address - Phone:510-374-3420
Practice Address - Fax:510-374-3692
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM566999163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult