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NPI Code Detail

MEDICARE: MICHELLE MARIE MERRIFIELD

MEDICARE: MICHELLE MARIE MERRIFIELD
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
1374U00000XHome Health Aide10066027WA

General Provider Information

NPI Number : 1144003963
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE MARIE MERRIFIELD
Provider Business Mailing Address
First Line : 7 S 10TH AVE
Second Line :
City : YAKIMA
State : WA
Zip : 98902-3318
Country : US
Telephone Number : 509-575-5093
Fax Number : 509-575-5032
Provider Business Practice Location Address
First Line : 7 S 10TH AVE
Second Line :
City : YAKIMA
State : WA
Zip : 98902-3318
Country : US
Telephone Number : 509-575-5093
Fax Number : 509-575-5032
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2023
Last Update Date : 08/16/2023

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Directions to “ MICHELLE MARIE MERRIFIELD ” Practice Location

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