Individual
GEORGE JUSTIN MERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-RNP
Contact information
Practice address
CL-2062.3 SPIDERWOMAN RD, CHINLE, AZ 86503-3894
(573) 757-5700
Mailing address
PO BOX 3891, CHINLE, AZ 86503-3894
(573) 757-5700
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
274695
AZ
363LF0000X
Family Nurse Practitioner
Primary
274695
AZ
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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