Individual
HALEY ANN MERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 367-6097
Mailing address
877 OLD SPRINGFIELD RD, VANDALIA, OH 45377-9323
(937) 367-6097
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
0029427
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2021
Last updated
08/30/2021
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