Provider Demographics
NPI:1134402126
Name:MEISTERHEIM, EMILY BROOKE (RN, CPNP)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:BROOKE
Last Name:MEISTERHEIM
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Gender:F
Credentials:RN, CPNP
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Mailing Address - Street 1:700 CHILDRENS DR
Mailing Address - Street 2:DEVELOPMENTAL BEHAVIORAL PEDIATRICS SUITE 346
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-2664
Mailing Address - Country:US
Mailing Address - Phone:614-722-2438
Mailing Address - Fax:614-722-4966
Practice Address - Street 1:700 CHILDRENS DR
Practice Address - Street 2:DEVELOPMENTAL BEHAVIORAL PEDIATRICS SUITE 346
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-2664
Practice Address - Country:US
Practice Address - Phone:614-722-2438
Practice Address - Fax:614-722-4966
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-26
Last Update Date:2011-09-26
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Provider Licenses
StateLicense IDTaxonomies
OH20111848363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics