Provider Demographics
NPI:1932899937
Name:MEIEROTTO, TERESA HULL (DNP)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:HULL
Last Name:MEIEROTTO
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3062 170TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT MADISON
Mailing Address - State:IA
Mailing Address - Zip Code:52627-9757
Mailing Address - Country:US
Mailing Address - Phone:319-561-0069
Mailing Address - Fax:
Practice Address - Street 1:3062 170TH ST
Practice Address - Street 2:
Practice Address - City:FORT MADISON
Practice Address - State:IA
Practice Address - Zip Code:52627-9757
Practice Address - Country:US
Practice Address - Phone:319-561-0069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA171865363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily