Provider Demographics
NPI:1841629169
Name:MEYERTONS, BERYL (LAC RN)
Entity type:Individual
Prefix:
First Name:BERYL
Middle Name:
Last Name:MEYERTONS
Suffix:
Gender:F
Credentials:LAC RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10458 RONALD LN
Mailing Address - Street 2:
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80234-3865
Mailing Address - Country:US
Mailing Address - Phone:720-532-6276
Mailing Address - Fax:
Practice Address - Street 1:10458 RONALD LN
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234-3865
Practice Address - Country:US
Practice Address - Phone:720-532-6276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-06
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1876171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist