| Doctor Name: | 0SUSAN KELLY MERRIMAN |
| NPI Number: | 1073733036 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 0000057976 |
| Business Practice Address: | 170 Church St Dunlap, TN - 373273710 |
| Business Phone Number: | 4239493619 |
| Business Fax Number: | 4239496507 |
| Mailing Address: | Po Box 132, DUNLAP |
| State: | TN |
| Postal Code: | 373270132 |
| Phone Number: | 4239493619 |
| Fax Number: | |
| NPI Enumeration Date: | 05/01/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 0000057976 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |