Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 1059049 | TX |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 1059049 | TX |
NPI | 1477210029 |
---|---|
Provider Name | Mrs. Kori Nicole Meier |
First Address | Temple, TX 76502-2146 |
Second Address | Austin, TX 78756-4080 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2021 |
Last Update Date | 18/11/2021 |