Healthcare Provider Details

I. General information

NPI: 1174053623
Provider Name (Legal Business Name): WILLIAM MERIMEE MSN, APRN, AGACNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2017
Last Update Date: 06/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18101 LORAIN AVENUE, CLEVELAND CLINIC-FAIRVIEW HOSPITAL EMERGENCY SERVICES
CLEVELAND OH
44111-5612
US

IV. Provider business mailing address

18101 LORAIN AVENUE, CLEVELAND CLINIC-FAIRVIEW HOSPITAL EMERGENCY SERVICES
CLEVELAND OH
44111-5612
US

V. Phone/Fax

Practice location:
  • Phone: 216-476-7312
  • Fax:
Mailing address:
  • Phone: 216-476-7312
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number021019
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number021019
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: