Provider Demographics
NPI:1982322558
Name:MYERS, EMILY (CPM)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:MYERS
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25552 S 2225 RD
Mailing Address - Street 2:
Mailing Address - City:MILO
Mailing Address - State:MO
Mailing Address - Zip Code:64767-7630
Mailing Address - Country:US
Mailing Address - Phone:417-321-9035
Mailing Address - Fax:
Practice Address - Street 1:25552 S 2225 RD
Practice Address - Street 2:
Practice Address - City:MILO
Practice Address - State:MO
Practice Address - Zip Code:64767-7630
Practice Address - Country:US
Practice Address - Phone:417-321-9035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO09090004176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife