Provider Demographics
NPI:1386903300
Name:MEYER, MARGARET ELLEN (RN)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:ELLEN
Last Name:MEYER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 FOREST MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:SALT POINT
Mailing Address - State:NY
Mailing Address - Zip Code:12578-2144
Mailing Address - Country:US
Mailing Address - Phone:845-544-3493
Mailing Address - Fax:
Practice Address - Street 1:11 FOREST MEADOW DR
Practice Address - Street 2:
Practice Address - City:SALT POINT
Practice Address - State:NY
Practice Address - Zip Code:12578-2144
Practice Address - Country:US
Practice Address - Phone:845-266-5051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-11
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY507504-1163WP0200X
174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No163WP0200XNursing Service ProvidersRegistered NursePediatrics