Provider Demographics
NPI:1871297283
Name:KRAMER, MEREDITH FRANCIS (COTA/L, IBCLC, LCCE)
Entity type:Individual
Prefix:MS
First Name:MEREDITH
Middle Name:FRANCIS
Last Name:KRAMER
Suffix:
Gender:F
Credentials:COTA/L, IBCLC, LCCE
Other - Prefix:MS
Other - First Name:MEREDITH
Other - Middle Name:FRANCIS CECILE
Other - Last Name:WHEELER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6385 OLD SHADY OAK RD STE 285
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-7736
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6385 OLD SHADY OAK RD STE 285
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-7736
Practice Address - Country:US
Practice Address - Phone:952-260-1685
Practice Address - Fax:612-587-1283
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-29
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN202637224Z00000X
20246174H00000X
MN374J00000X
L-315118174N00000X
174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
No174H00000XOther Service ProvidersHealth Educator
No374J00000XNursing Service Related ProvidersDoula