Provider Demographics
NPI:1942231113
Name:MEERS, DONA J (CNP)
Entity Type:Individual
Prefix:
First Name:DONA
Middle Name:J
Last Name:MEERS
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 950244
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40295-0244
Mailing Address - Country:US
Mailing Address - Phone:812-218-8926
Mailing Address - Fax:812-218-8930
Practice Address - Street 1:1000 NEIGHBORHOOD PL
Practice Address - Street 2:
Practice Address - City:FAIRDALE
Practice Address - State:KY
Practice Address - Zip Code:40118-9697
Practice Address - Country:US
Practice Address - Phone:502-361-2381
Practice Address - Fax:502-363-1463
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3001838363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY78018389Medicaid
S71910Medicare UPIN
000019257UOtherHUMANA
KY1053POtherSIHO
7329429OtherAETNA
KY78018389Medicaid
KY500015229Medicare PIN
KY0875805Medicare PIN
01-00445OtherUNITED HEALTHCARE
500015229OtherMEDICARE RAILROAD
500015229OtherMEDICARE RAILROAD