Provider Demographics
NPI:1134764848
Name:MEYER, ADAM BRENT (CRNP)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:BRENT
Last Name:MEYER
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 W GERMANTOWN PIKE STE 155
Mailing Address - Street 2:
Mailing Address - City:EAST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19401-1383
Mailing Address - Country:US
Mailing Address - Phone:610-277-9040
Mailing Address - Fax:610-277-7890
Practice Address - Street 1:190 W GERMANTOWN PIKE STE 155
Practice Address - Street 2:
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19401-1383
Practice Address - Country:US
Practice Address - Phone:610-277-9040
Practice Address - Fax:610-277-7890
Is Sole Proprietor?:No
Enumeration Date:2019-11-18
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP021085363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology