Healthcare Provider Details
I. General information
NPI: 1023057106
Provider Name (Legal Business Name): HELEN A MERRICK APRN, BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/05/2006
Last Update Date: 01/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
20251 JOHN J WILLIAMS HWY
LEWES DE
19958-4314
US
IV. Provider business mailing address
20251 JOHN J WILLIAMS HWY
LEWES DE
19958-4314
US
V. Phone/Fax
- Phone: 302-644-6860
- Fax: 302-644-6872
- Phone: 302-644-6860
- Fax: 302-644-6872
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | LG-0000403 |
| License Number State | DE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: