Provider Demographics
NPI:1801135538
Name:BELEW, MEREDITH CLARK (CRNP)
Entity type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:CLARK
Last Name:BELEW
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:20104 SWANNER BLVD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:TANNER
Mailing Address - State:AL
Mailing Address - Zip Code:35671-3651
Mailing Address - Country:US
Mailing Address - Phone:256-686-3334
Mailing Address - Fax:256-771-1662
Practice Address - Street 1:20104 SWANNER BLVD
Practice Address - Street 2:SUITE 4
Practice Address - City:TANNER
Practice Address - State:AL
Practice Address - Zip Code:35671-3651
Practice Address - Country:US
Practice Address - Phone:256-686-3334
Practice Address - Fax:256-771-1662
Is Sole Proprietor?:No
Enumeration Date:2013-01-31
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL1-108046363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily