Provider Demographics
NPI:1699297648
Name:MEYER, ISAIAH (AGPCNP-C)
Entity type:Individual
Prefix:
First Name:ISAIAH
Middle Name:
Last Name:MEYER
Suffix:
Gender:M
Credentials:AGPCNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 127
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:ME
Mailing Address - Zip Code:04917-0127
Mailing Address - Country:US
Mailing Address - Phone:207-378-4660
Mailing Address - Fax:855-538-3097
Practice Address - Street 1:PO BOX 127
Practice Address - Street 2:
Practice Address - City:BELGRADE
Practice Address - State:ME
Practice Address - Zip Code:04917-0127
Practice Address - Country:US
Practice Address - Phone:207-378-4660
Practice Address - Fax:855-538-3097
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-12
Last Update Date:2025-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP161149363LA2200X, 363LG0600X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner