Individual
MRS. VICKI PAULINE MEROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP C
Contact information
Practice address
1717 N E ST, STE 331, PENSACOLA, FL 32501-6335
(850) 484-6500
(850) 857-1747
Mailing address
1717 N E ST, STE 331, PENSACOLA, FL 32501-6335
(850) 484-6500
(850) 444-1755
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP1233422
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104815455
NPI
FL
05
—
307108100
—
FL
Enumeration date
10/19/2005
Last updated
06/17/2021
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