Provider Demographics
NPI:1902561020
Name:MEYER, ELIZABETH A (PA)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:A
Last Name:MEYER
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:7613 W JEFFERSON BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46804-4182
Mailing Address - Country:US
Mailing Address - Phone:260-469-7337
Mailing Address - Fax:260-469-7340
Practice Address - Street 1:7613 W JEFFERSON BLVD STE 200
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46804-4182
Practice Address - Country:US
Practice Address - Phone:260-469-7337
Practice Address - Fax:260-469-7340
Is Sole Proprietor?:No
Enumeration Date:2021-11-03
Last Update Date:2021-11-03
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant