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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
3908 10TH ST SE, PUYALLUP, WA 98374-2188
(253) 848-5951

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61523604
WA

Other

Enumeration date
01/24/2024
Last updated
07/20/2026
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