Merrill, Stacey M

Merrill, Stacey M is an individual health care provider with primary practice located at 2500 W Reynolds St , Pontiac IL 61764-9784. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Merrill, Stacey M can be contacted via phone (815) 842-2828.

Contact Information

Primary practice address
2500 W Reynolds St Pontiac IL 61764-9784
Phone: (815) 842-2828
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209020094 Illinois

Profile Details

NPI number 1760012637
LBN Legal business name Merrill, Stacey M
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2020
Last updated Jan 20th, 2020 - about 6 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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