Provider Demographics
NPI:1720250145
Name:MEYERSON, KAREN LYNN (MSN, FNP-C, AE-C)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:LYNN
Last Name:MEYERSON
Suffix:
Gender:F
Credentials:MSN, FNP-C, AE-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1179 E PARIS AVE SE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-8371
Mailing Address - Country:US
Mailing Address - Phone:616-957-1912
Mailing Address - Fax:616-957-0074
Practice Address - Street 1:1179 E PARIS AVE SE
Practice Address - Street 2:SUITE 150
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-8371
Practice Address - Country:US
Practice Address - Phone:616-957-1912
Practice Address - Fax:616-957-0074
Is Sole Proprietor?:No
Enumeration Date:2008-03-26
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704134060363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner