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NPI Code Detail

MEDICARE: DEBRA ROSE MERRITT CRNA

MEDICARE: DEBRA ROSE MERRITT CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist086581NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134199813
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA ROSE MERRITT CRNA
Provider Business Mailing Address
First Line : PO BOX 29343
Second Line :
City : GREENSBORO
State : NC
Zip : 27429-9343
Country : US
Telephone Number : 336-272-0101
Fax Number : 336-272-4063
Provider Business Practice Location Address
First Line : 1211 VIRGINIA ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-1313
Country : US
Telephone Number : 336-272-0101
Fax Number : 336-272-4063
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2006
Last Update Date : 07/08/2007

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Directions to “ DEBRA ROSE MERRITT CRNA” Practice Location

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