Provider Demographics
NPI:1447009956
Name:MYERS, MERANDA LEIGH
Entity type:Individual
Prefix:
First Name:MERANDA
Middle Name:LEIGH
Last Name:MYERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5146 BEECHCREST DR
Mailing Address - Street 2:
Mailing Address - City:ASHTABULA
Mailing Address - State:OH
Mailing Address - Zip Code:44004-9412
Mailing Address - Country:US
Mailing Address - Phone:440-226-1521
Mailing Address - Fax:
Practice Address - Street 1:5146 BEECHCREST DR
Practice Address - Street 2:
Practice Address - City:ASHTABULA
Practice Address - State:OH
Practice Address - Zip Code:44004-9412
Practice Address - Country:US
Practice Address - Phone:440-226-1521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion