Provider Demographics
NPI:1316910342
Name:MEYER, ANNETTE SORIANO (NP)
Entity type:Individual
Prefix:
First Name:ANNETTE
Middle Name:SORIANO
Last Name:MEYER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 WINDCROSS COURT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:SC
Mailing Address - Zip Code:37067
Mailing Address - Country:US
Mailing Address - Phone:443-492-2762
Mailing Address - Fax:
Practice Address - Street 1:1009 WINDCROSS COURT
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:SC
Practice Address - Zip Code:37067
Practice Address - Country:US
Practice Address - Phone:443-492-2762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209-004030363LA2200X
SC19935363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health