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NPI Code Detail

MEDICARE: ANNA VICTORIA MERRICK RN

MEDICARE: ANNA VICTORIA MERRICK RN
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
1163WM0102XMaternal Newborn Registered NurseL1-0050688DE

General Provider Information

NPI Number : 1548786312
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA VICTORIA MERRICK RN
Provider Business Mailing Address
First Line : 13 ELLIOTT AVE
Second Line :
City : OCEAN VIEW
State : DE
Zip : 19970-9174
Country : US
Telephone Number : 302-752-8891
Fax Number :
Provider Business Practice Location Address
First Line : 424 SAVANNAH RD
Second Line :
City : LEWES
State : DE
Zip : 19958-1462
Country : US
Telephone Number : 302-645-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2017
Last Update Date : 08/14/2017

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