Provider Demographics
NPI:1932561750
Name:MEIS, CAMILLE (FNP)
Entity Type:Individual
Prefix:MISS
First Name:CAMILLE
Middle Name:
Last Name:MEIS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4112 EDITH CT
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75220-3774
Mailing Address - Country:US
Mailing Address - Phone:214-538-8952
Mailing Address - Fax:
Practice Address - Street 1:4112 EDITH CT
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75220-3774
Practice Address - Country:US
Practice Address - Phone:214-538-8952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130257363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily