Provider Demographics
NPI:1962671651
Name:MEYERS, PAMELA S (RN)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:S
Last Name:MEYERS
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 1:500 AMITY RD
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:OH
Mailing Address - Zip Code:43119-9721
Mailing Address - Country:US
Mailing Address - Phone:614-851-0952
Mailing Address - Fax:614-851-0962
Practice Address - Street 1:500 AMITY RD
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:OH
Practice Address - Zip Code:43119-9721
Practice Address - Country:US
Practice Address - Phone:614-851-0952
Practice Address - Fax:614-851-0962
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH315468163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse