Individual
CARRI LYNN MERRIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
31371 RANCHO VIEJO RD STE 104, SAN JUAN CAPISTRANO, CA 92675-1848
(949) 487-3200
Mailing address
33702 CALLE CONEJO, SAN JUAN CAPISTRANO, CA 92675-5017
(949) 275-1762
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95014657
CA
Other
Enumeration date
09/20/2023
Last updated
09/27/2023
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