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NPI Code Detail

MEDICARE: ELAINE D MERITT

MEDICARE: ELAINE D MERITT
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
1163WW0101XAmbulatory Women's Health Care Registered Nurse041.398767IL

General Provider Information

NPI Number : 1043166911
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELAINE D MERITT
Provider Business Mailing Address
First Line : 116 DURANT ST
Second Line :
City : MORTON
State : IL
Zip : 61550-9484
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2807 N KNOXVILLE AVE
Second Line :
City : PEORIA
State : IL
Zip : 61604-2869
Country : US
Telephone Number : 309-966-3862
Fax Number : 309-966-3863
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “ ELAINE D MERITT ” Practice Location

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