Provider Demographics
NPI:1871230318
Name:MEEK, CARRIE RENEE (ACNPC-AG)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:RENEE
Last Name:MEEK
Suffix:
Gender:F
Credentials:ACNPC-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 SW ORCHARD CT
Mailing Address - Street 2:
Mailing Address - City:GRAIN VALLEY
Mailing Address - State:MO
Mailing Address - Zip Code:64029-9692
Mailing Address - Country:US
Mailing Address - Phone:515-720-6324
Mailing Address - Fax:
Practice Address - Street 1:802 SW ORCHARD CT
Practice Address - Street 2:
Practice Address - City:GRAIN VALLEY
Practice Address - State:MO
Practice Address - Zip Code:64029-9692
Practice Address - Country:US
Practice Address - Phone:515-720-6324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-17
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022015023363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care