Paula Susan Meyer, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Traverse City, MI
NPI 1760434682 · NPPES record last updated Jun 26, 2008
Key facts
- NPI
- 1760434682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704121716 (MI)
- Practice address
- 3189 Logan Valley Rd
Traverse City, MI 49684-4772 - Phone
- (231) 932-1988
- Fax
- (231) 932-7693
- NPI assigned
- May 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jivanta Chiropractic Wellness Centre PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704121716 | MI | Yes |
Addresses
Primary practice location
3189 Logan Valley Rd
Traverse City, MI 49684-4772
Mailing address
4028 S Lake Leelanau Dr
Lake Leelanau, MI 49653-9764
Phone (231) 256-9571
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 518789810 | Medicaid | MI |
Other providers in Traverse City, MI
- Janet M. Messerschmidt
- Joseph Frank Messina
- Constance F Metcalf
- Tina Maria Metropoulos
- Jaime D. Meyer
- Erin Dickson Meyers
- Mi Physical Medicine
- Michael C Hutchison PLLC
- Michael J Vanwagner DO PC
- David P Michelin
All providers in Traverse City, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.