Doctor Name: | SANDRA MERRITT |
NPI Number: | 1013034131 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN3414242 |
Business Practice Address: | 1022 Florida Ave S Suite 6 Rockledge, FL - 329552145 |
Business Phone Number: | 3216377700 |
Business Fax Number: | 3216377707 |
Mailing Address: | 1022 Florida Ave S, Suite 6 ROCKLEDGE |
State: | FL |
Postal Code: | 329552145 |
Phone Number: | 3216377700 |
Fax Number: | 3216377707 |
NPI Enumeration Date: | 03/23/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0200X |
License Number: | RN3414242 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |