Merrick, Adrienne L

Merrick, Adrienne L is an individual health care provider with primary practice located at 2222 Philadelphia Dr , Dayton OH 45406-1813. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Merrick, Adrienne L can be contacted via phone (937) 734-2612.

Contact Information

Primary practice address
2222 Philadelphia Dr Dayton OH 45406-1813
Phone: (937) 734-2612
Fax: (937) 567-4163
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN378232 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CERT 92108 Indiana
Nursing Service Providers / Registered Nurse 163W00000X 28174773A Indiana

Profile Details

NPI number 1447594858
LBN Legal business name Merrick, Adrienne L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2012
Last updated Jan 5th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447594858 NPPES
Indiana Other 000001027762 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 0080856 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 201368570 ANTHEM PROVIDER NUMBER

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