Individual
CARLIE RAE MERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
503 S JOHN REDDITT DR, LUFKIN, TX 75904-3120
(936) 699-5639
Mailing address
503 S JOHN REDDITT DR, LUFKIN, TX 75904-3120
(936) 699-5639
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP140591
TX
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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