Individual provider · Type 1 NPI

Richard Mark Merrill, NURSE PRACTITIONER

Pediatric Nurse Practitioner · Apo, AE

NPI number 1720458599 Active

Practice location

422 Mds/sgn, Unit 4628
Apo, AE 09494-4628

Mailing address

Psc 50 Box 563
Apo, AE 09494-0006

Specialties and licenses

TaxonomyCodeLicense
Critical Care Pediatric Nurse Practitioner 363LP0222X9361765-4405 (UT)
Pediatric Nurse Practitioner Primary 363LP0200X9361765-4405 (UT)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1720458599

Richard Mark Merrill, NURSE PRACTITIONER's National Provider Identifier is 1720458599, issued on Oct 5, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Apo, AE. The record was last updated on Apr 26, 2018.