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NPI Code Detail

MEDICARE: MRS. DEMI DELISE MERLINO APRN, MNSC

MEDICARE: MRS. DEMI DELISE MERLINO APRN, MNSC
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
1363LA2100XAcute Care Nurse PractitionerA004320AR

General Provider Information

NPI Number : 1144611922
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEMI DELISE MERLINO APRN, MNSC
Provider Business Mailing Address
First Line : 7800 DALLAS ST
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-4278
Country : US
Telephone Number : 479-314-4940
Fax Number : 479-478-7291
Provider Business Practice Location Address
First Line : 7800 DALLAS ST
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-4278
Country : US
Telephone Number : 479-314-4940
Fax Number : 794-787-2914
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2015
Last Update Date : 07/27/2022

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