Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | NP9132 | CA |
NPI | 1023114857 |
---|---|
Provider Name | Michelle L Meinzer |
First Address | Santa Barbara, CA 93160-2106 |
Second Address | Santa Barbara, CA 93110-1416 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P25987 | (02) | CA |