Individual
NANCY PATRICIA PRUSSIAMERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 393-4000
Mailing address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 393-4000
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
6378
CA
227900000X
Registered Respiratory Therapist
6378
DE
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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