Individual
THERESE LYNETTE MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5830 COLLIN MCKINNEY PKWY STE 302, MCKINNEY, TX 75070-5109
(214) 272-2774
Mailing address
PO BOX 516, OREGON, IL 61061-0516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
AP140768
TX
363L00000X
Nurse Practitioner
Primary
AP140768
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403090001
—
TX
Enumeration date
02/24/2019
Last updated
11/01/2023
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