Provider Demographics
NPI:1649962598
Name:MEIER, KATHLEEN NICHOLE (DNP, RN, FNP-C)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:NICHOLE
Last Name:MEIER
Suffix:
Gender:F
Credentials:DNP, RN, FNP-C
Other - Prefix:
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Mailing Address - Street 1:5612 W WALBROOK DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129-4150
Mailing Address - Country:US
Mailing Address - Phone:669-333-1490
Mailing Address - Fax:
Practice Address - Street 1:746 THE ALAMEDA
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-3178
Practice Address - Country:US
Practice Address - Phone:888-663-6331
Practice Address - Fax:415-252-7176
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-22
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA95023312363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner