Provider Demographics
NPI:1659840288
Name:BATTY, MEREDITH JOHANNA (CNM)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:JOHANNA
Last Name:BATTY
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:JOHANNA
Other - Last Name:HOREL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1935 CLEVELAND ST
Mailing Address - Street 2:
Mailing Address - City:NORTH BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97459-1814
Mailing Address - Country:US
Mailing Address - Phone:541-661-5713
Mailing Address - Fax:
Practice Address - Street 1:700 NE 87TH AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98664-4896
Practice Address - Country:US
Practice Address - Phone:360-882-2772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-13
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN61520156163W00000X
OR201808320RN163WA0400X
OR202006872NP-PP367A00000X
WAAP61520160367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)