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Individual

DEANNA LEE MERRILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CNP

Contact information

Practice address
155 CALLE PORTAL, SIERRA VISTA, AZ 85635
(520) 459-3011
Mailing address
1205 F AVENUE, DOUGLAS, AZ 85607
(520) 515-8666
(520) 515-8663

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN197161
AZ
363L00000X
Nurse Practitioner
Primary
285387
AZ

Other

Enumeration date
10/31/2020
Last updated
04/19/2023
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