Individual
MRS. MERRADITH DENSMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
16761 SAINT CLAIR AVE, EAST LIVERPOOL, OH 43920-9400
(855) 296-1286
Mailing address
215 S BEAVER ST, LISBON, OH 44432-1203
(330) 383-4639
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1205497898
OH
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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