Provider Demographics
NPI:1902592769
Name:HOOVER, MERIDITH SHOOK
Entity Type:Individual
Prefix:
First Name:MERIDITH
Middle Name:SHOOK
Last Name:HOOVER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2008 ALICE ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-3574
Mailing Address - Country:US
Mailing Address - Phone:334-444-5979
Mailing Address - Fax:
Practice Address - Street 1:2008 ALICE ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-3574
Practice Address - Country:US
Practice Address - Phone:334-444-5979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula