MEDICARE: MARILYN MERRITT

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
1	164W00000X	Licensed Practical Nurse	061579	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063626729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARILYN MERRITT

Provider Business Mailing Address
First Line	:	1201 EVERETT DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45402-5604
Country	:	US
Telephone Number	:	937-278-7553
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 EVERETT DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45402-5604
Country	:	US
Telephone Number	:	937-278-7553
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1437864055 — NICHOLAS ANTHONY BRYAN M.S., L.P.C.C.
Practice Location Address:

2135 BANDIT TRL
DAYTON, OH
45434-5604

Practice Phone: 937-307-1944
Practice Fax:

1861323016 — MARK VANDIVIER
Practice Location Address:

865 S PATTERSON BLVD
DAYTON, OH
45402-2624

Practice Phone: 937-966-4673
Practice Fax:

1750212643 — MARCEA P HAGANS
Practice Location Address:

4100 HOOVER AVE
DAYTON, OH
45402-5238

Practice Phone: 937-723-8475
Practice Fax:

1740981547 — LATRELL DAVIS
Practice Location Address:

136 S LUDLOW ST
DAYTON, OH
45402-1813

Practice Phone: 513-464-4546
Practice Fax:

1992636617 — GRAYSON LUCILLE SCHAFFER
Practice Location Address:

660 S MAIN ST
DAYTON, OH
45402-2708

Practice Phone: 937-528-6577
Practice Fax:

1154253870 — BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM, INC.
Practice Location Address:

141 W 3RD ST
DAYTON, OH
45402-1814

Practice Phone: 513-454-1111
Practice Fax: 513-737-1592

Directions to “ MARILYN MERRITT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.