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NPI Code Detail

MEDICARE: MERRITT BURDGE APRN

MEDICARE: MERRITT BURDGE APRN
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
1363LF0000XFamily Nurse Practitioner0000026762TN

General Provider Information

NPI Number : 1427694520
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERRITT BURDGE APRN
Provider Business Mailing Address
First Line : 702 S CUMBERLAND ST
Second Line :
City : LEBANON
State : TN
Zip : 37087-4110
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 702 S CUMBERLAND ST
Second Line :
City : LEBANON
State : TN
Zip : 37087-4110
Country : US
Telephone Number : 615-444-2121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2019
Last Update Date : 02/09/2026

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