Provider Demographics
NPI:1821197534
Name:GREY MCLEAN, MERIDYTHE E (RNFA)
Entity Type:Individual
Prefix:
First Name:MERIDYTHE
Middle Name:E
Last Name:GREY MCLEAN
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:187 9TH AVE S
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-6845
Mailing Address - Country:US
Mailing Address - Phone:239-262-3399
Mailing Address - Fax:239-261-1189
Practice Address - Street 1:187 9TH AVE S
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-6845
Practice Address - Country:US
Practice Address - Phone:239-262-3399
Practice Address - Fax:239-261-1189
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN0959912163W00000X, 163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL310028600Medicaid