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Individual
MARK AUSTIN MERRITT
Active
Individual
MARK AUSTIN MERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-173916
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5015132
NC
Other
Enumeration date
04/09/2020
Last updated
02/26/2025
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