Doctor Name: | MS. MERRITT M ANDRUSS |
NPI Number: | 1114089232 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP |
License Number: | 566 |
Business Practice Address: | 4675 Glacier Hwy Juneau, AK - 998019518 |
Business Phone Number: | 9073215708 |
Business Fax Number: | 9077806425 |
Mailing Address: | 20133 Cohen Dr, JUNEAU |
State: | AK |
Postal Code: | 998018211 |
Phone Number: | 9079571131 |
Fax Number: | 9077806425 |
NPI Enumeration Date: | 12/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | 566 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |