Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APRN11006001 | FL |
Y | 363LG0600X | Nurse Practitioner - Gerontology | APRN11006001 | FL |
NPI | 1457990897 |
---|---|
Provider Name | Brittany Mae Merritt |
First Address | Orlando, FL 32803-1248 |
Second Address | Orlando, FL 32803-1248 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2020 |
Last Update Date | 03/03/2020 |