Individual
DEBRA L MERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15 PUBLIC SQ, SUITE 600, WILKES BARRE, PA 18701-1700
(570) 826-1777
Mailing address
15 PUBLIC SQ, SUITE 600, WILKES BARRE, PA 18701-1700
(570) 826-1777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN299914L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007678420038
—
PA
05
—
1027306180001
—
PA
05
—
1027306180002
—
PA
Enumeration date
06/27/2012
Last updated
01/06/2016
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