Individual
AMY NICOLE MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4708 ALLIANCE BLVD, PAVILION I, SUITE 600, PLANO, TX 75093-5340
(469) 467-0011
(469) 467-4923
Mailing address
4708 ALLIANCE BLVD, PAVILION I, SUITE 600, PLANO, TX 75093-5340
(469) 467-0011
(469) 467-4923
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
744100
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306776101
—
TX
Enumeration date
06/29/2012
Last updated
04/07/2015
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