Provider Demographics
NPI:1366708901
Name:MEIER-HANAWAY, BEVERLY LYNNE (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MS
First Name:BEVERLY
Middle Name:LYNNE
Last Name:MEIER-HANAWAY
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:11270 ROUGH AND READY HWY
Mailing Address - Street 2:HOSPICE OF THE FOOTHILLS
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945
Mailing Address - Country:US
Mailing Address - Phone:530-272-5739
Mailing Address - Fax:
Practice Address - Street 1:5151 F STREET
Practice Address - Street 2:SUTTER MEMORIAL HOSPITAL
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819
Practice Address - Country:US
Practice Address - Phone:916-454-6201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-09
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA14533363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health