Individual
MERRILY FILLMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
611 31ST AVE SW, PUYALLUP, WA 98373-3723
(253) 848-5951
Mailing address
1617 19TH AVE SE, PUYALLUP, WA 98372-4721
(253) 448-1091
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61523604
WA
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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