Individual provider · Type 1 NPI

Nichole Marie Merriam

Nurse Practitioner · Whitesboro, NY

NPI number 1861285223 Active

Practice location

37 Main St
Whitesboro, NY 13492-1034

Mailing address

318 Charles St
Boonville, NY 13309-1338

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X357125 (NY)

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…

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About NPI 1861285223

Nichole Marie Merriam's National Provider Identifier is 1861285223, issued on May 27, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Whitesboro, NY. The record was last updated on Nov 26, 2025.