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General NPI Number Information
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NPI Number | 1881829117
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Entity Type | Individual
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Provider Name | RONDA ANN MERRELL PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/15/2009
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 1360 W HIGHWAY 40 STE B
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City | VERNAL
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State | UT
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Zip | 84078-4203
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Country | US
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Telephone | 435-250-4580
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Fax |
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Provider Business Mailing Address
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Address Line | 307 W 950 S
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City | VERNAL
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State | UT
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Zip | 84078-4157
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Country | US
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Telephone | 435-790-0937
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Fax | 435-849-8220
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 858221
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5672743-4405
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 5672743-3102
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License Number State | UT
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