Provider Demographics
NPI:1730299629
Name:MEIER, MARCELLA ANN (NP)
Entity type:Individual
Prefix:
First Name:MARCELLA
Middle Name:ANN
Last Name:MEIER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MARCELLA
Other - Middle Name:ANN
Other - Last Name:MORONO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:243 ELM ST
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03743-4921
Mailing Address - Country:US
Mailing Address - Phone:603-543-6940
Mailing Address - Fax:
Practice Address - Street 1:7 DUNNING ST
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:NH
Practice Address - Zip Code:03743-2005
Practice Address - Country:US
Practice Address - Phone:603-542-6700
Practice Address - Fax:603-542-6730
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH080523-23363LF0000X
CARN 473626363LF0000X, 363LP0200X, 363LW0102X, 363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
BJ050ZMedicare PIN