Individual
KATESHA M. MERRIEX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
Mailing address
1200 NE 55TH BLVD, GAINESVILLE, FL 32641-2783
(352) 374-8484
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9246430
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
11012899
FL
Other
Enumeration date
01/22/2015
Last updated
05/04/2021
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