Doctor Name: | RHODORA L MERRILL |
NPI Number: | 1003178203 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BSN |
License Number: | RN090783 |
Business Practice Address: | 1869 Saint Jean St Mansura, LA - 713504505 |
Business Phone Number: | 3189642699 |
Business Fax Number: | 3189642736 |
Mailing Address: | 1869 Saint Jean St, MANSURA |
State: | LA |
Postal Code: | 713504505 |
Phone Number: | 3199642699 |
Fax Number: | 3189642736 |
NPI Enumeration Date: | 06/13/2012 |
NPI Last Update Date: | 06/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | RN090783 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |