Provider Demographics
NPI:1013437300
Name:MEADE, CARA LYNN
Entity Type:Individual
Prefix:MRS
First Name:CARA
Middle Name:LYNN
Last Name:MEADE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34542 STATE ROUTE 541
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:OH
Mailing Address - Zip Code:43844-9401
Mailing Address - Country:US
Mailing Address - Phone:740-575-5613
Mailing Address - Fax:
Practice Address - Street 1:34542 STATE ROUTE 541
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:OH
Practice Address - Zip Code:43844
Practice Address - Country:US
Practice Address - Phone:740-575-5613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No126800000XDental ProvidersDental Assistant
No376K00000XNursing Service Related ProvidersNurse's Aide