Individual
MADELINE BRADLEY MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, MSN, ANP
Contact information
Practice address
17 E 102ND ST, 5TH FLOOR, NEW YORK, NY 10029-5204
(212) 214-7863
Mailing address
201 W 92ND ST APT 6L, NEW YORK, NY 10025-7437
(817) 917-6241
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
657486-1
NY
163WX0200X
Oncology Registered Nurse
657486-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F306785-1
NY
Other
Enumeration date
03/08/2013
Last updated
03/13/2014
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