Provider Demographics
NPI:1720517311
Name:MEYERS, LAURA JEAN (CNM)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:JEAN
Last Name:MEYERS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:JEAN
Other - Last Name:COLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:930 MARTIN LUTHER KING JR BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2656
Mailing Address - Country:US
Mailing Address - Phone:919-933-3301
Mailing Address - Fax:919-933-3375
Practice Address - Street 1:930 MARTIN LUTHER KING JR BLVD STE 202
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2656
Practice Address - Country:US
Practice Address - Phone:919-933-3301
Practice Address - Fax:919-933-3375
Is Sole Proprietor?:No
Enumeration Date:2017-06-07
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
367A00000X
NC641367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC206294OtherRN LICENSE