Provider Demographics
NPI:1780172585
Name:MEEK, INGEBORG CHRISTINA (RN)
Entity type:Individual
Prefix:MS
First Name:INGEBORG
Middle Name:CHRISTINA
Last Name:MEEK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29321 S PLUM CREEK DR # 85
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-2302
Mailing Address - Country:US
Mailing Address - Phone:941-350-1185
Mailing Address - Fax:
Practice Address - Street 1:6020 W. SEMANDS STREET
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301
Practice Address - Country:US
Practice Address - Phone:936-756-5598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-26
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9253447163WG0000X
TX888637163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice