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Individual
TAE'LR T MERRIWEATHER
Active
Individual
TAE'LR T MERRIWEATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71013877A
IN
363LP2300X
Primary Care Nurse Practitioner
71013877A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300076105
—
IN
01
—
815500565
MEDICARE PTAN
IN
Enumeration date
05/16/2023
Last updated
06/28/2023
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