Organization · Type 2 NPI

Mermaid Medical

Nurse Practitioner · Star Tannery, VA

NPI number 1174438642 Active

Practice location

98 Wheatfield Ln
Star Tannery, VA 22654-3167

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

Another provider at this address

About NPI 1174438642

Mermaid Medical's National Provider Identifier is 1174438642, issued on Aug 18, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Star Tannery, VA. The record was last updated on Aug 18, 2026.