1700428661 NPI number — ARDEN TAYLOR MEYER MSN, APRN, FNP-BC

Table of content: ARDEN TAYLOR MEYER MSN, APRN, FNP-BC (NPI 1700428661)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700428661 NPI number — ARDEN TAYLOR MEYER MSN, APRN, FNP-BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MEYER
Provider First Name:
ARDEN
Provider Middle Name:
TAYLOR
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSN, APRN, FNP-BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WETTERMAN-MEYER
Provider Other First Name:
ARDEN
Provider Other Middle Name:
TAYLOR
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSN, APRN, FNP-BC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1700428661
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/26/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 848476
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75284-8476
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
254-202-4655
Provider Business Mailing Address Fax Number:
254-202-4697

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2304 MARKETPLACE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WACO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76711-2467
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-202-7300
Provider Business Practice Location Address Fax Number:
254-202-7350
Provider Enumeration Date:
10/11/2019

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  AP143499 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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