Provider Demographics
NPI:1861291791
Name:MEYER, ANNASTASHA L
Entity type:Individual
Prefix:
First Name:ANNASTASHA
Middle Name:L
Last Name:MEYER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1214 MCDONALD AVE
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-3150
Mailing Address - Country:US
Mailing Address - Phone:402-705-3189
Mailing Address - Fax:
Practice Address - Street 1:1214 MCDONALD AVE
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-3150
Practice Address - Country:US
Practice Address - Phone:402-705-3189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant