Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | NP17506 | CA |
Y | 363LP0200X | Nurse Practitioner - Pediatrics | APRN001924 | NV |
N | 363LP0200X | Nurse Practitioner - Pediatrics | APRN1607 | HI |
NPI | 1003084294 |
---|---|
Provider Name | Dena Kae Meeter |
First Address | Las Vegas, NV 89128-4337 |
Second Address | Las Vegas, NV 89128-4337 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2008 |
Last Update Date | 04/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
13570942 | CAQH (01) |