Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | CP000883 | SD |
NPI | 1205244860 |
---|---|
Provider Name | Dr. Michelle Meyers |
First Address | Sioux Falls, SD 57105-0401 |
Second Address | Sioux Falls, SD 57105-0401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2014 |
Last Update Date | 01/07/2019 |