Provider Demographics
NPI:1184788317
Name:MEREDITH, ELIZABETH LEWIS (RN, CNM, NP, MSN)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:LEWIS
Last Name:MEREDITH
Suffix:
Gender:F
Credentials:RN, CNM, NP, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2075 KINCAID ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-3049
Mailing Address - Country:US
Mailing Address - Phone:541-343-0620
Mailing Address - Fax:
Practice Address - Street 1:151 W 8TH AVE RM 310
Practice Address - Street 2:LANE COUNTY PUBLIC HEALTH
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2960
Practice Address - Country:US
Practice Address - Phone:541-682-4041
Practice Address - Fax:541-682-2455
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR000036275N5 NMNP-PP367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife