Individual
CHAD DANIEL MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AG-ACNP
Contact information
Practice address
60 HIGH ST, LEWISTON, ME 04240-7616
(207) 795-0111
Mailing address
24B UPLAND RD, LISBON, ME 04250-6803
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP231086
ME
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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