Provider Demographics
NPI:1457397275
Name:MEERT, ARNOLD JOHN (CRNA)
Entity Type:Individual
Prefix:
First Name:ARNOLD
Middle Name:JOHN
Last Name:MEERT
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4518
Mailing Address - Street 2:
Mailing Address - City:STATELINE
Mailing Address - State:NV
Mailing Address - Zip Code:89449-4518
Mailing Address - Country:US
Mailing Address - Phone:866-640-3005
Mailing Address - Fax:866-640-3006
Practice Address - Street 1:7500 TIMBERLAKE WAY
Practice Address - Street 2:METHODIST HOSPITAL
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-5417
Practice Address - Country:US
Practice Address - Phone:916-423-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN244086163W00000X
HIRN 60633163W00000X
HIAPRN 990367500000X
CANA242367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIAPRN 990OtherHAWAII ADVANCE PRACTICE L
HIRN 60633OtherHAWAII RN LICNESE
CANA242OtherSTATE LICENSE
CARN244086OtherSTATE LICENSE
HIAPRN 990OtherHAWAII ADVANCE PRACTICE L
CARN244086OtherSTATE LICENSE