Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 5002174 | NC |
NPI | 1013065390 |
---|---|
Provider Name | Mrs. Karen H Merritt |
First Address | Smithfield, NC 27577-9443 |
Second Address | Smithfield, NC 27577-9443 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2007 |
Last Update Date | 30/09/2010 |