Myers, Merrill Lee

Myers, Merrill Lee is an individual health care provider with primary practice located at 100 Elden St Ste 10 , Herndon VA 20170-4833. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Allopathic & Osteopathic Physicians / Allergy & Immunology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Myers, Merrill Lee can be contacted via phone (703) 404-4600.

Contact Information

Primary practice address
100 Elden St Ste 10 Herndon VA 20170-4833
Phone: (703) 404-4600
Fax: (703) 478-6612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024097504 Virginia
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 0001097504 Virginia

Profile Details

NPI number 1558663112
LBN Legal business name Myers, Merrill Lee
Credentials NURSE PRACTIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2010
Last updated Oct 31st, 2023 - about 3 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 1558663112 NPPES
Virginia Other 1V9636 MEDICARE PTAN
Virginia MEDICAID 1558663112 MEDICARE PTAN

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