Provider Demographics
NPI:1053880575
Name:MEEHL, PALLAVI YONGHANG (CRNP)
Entity type:Individual
Prefix:
First Name:PALLAVI
Middle Name:YONGHANG
Last Name:MEEHL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 W 25TH ST # 3R
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16544-0002
Mailing Address - Country:US
Mailing Address - Phone:814-452-5530
Mailing Address - Fax:814-452-5419
Practice Address - Street 1:232 W 25TH ST # 3R
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16544-2420
Practice Address - Country:US
Practice Address - Phone:814-452-5530
Practice Address - Fax:814-452-5419
Is Sole Proprietor?:No
Enumeration Date:2018-11-14
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP019593363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily