Individual
ANGEL A MERRIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3758 W GHOST FLOWER LN, ANTHEM, AZ 85086-3785
(904) 554-5828
Mailing address
2257 US HIGWAY 441 NORTH STE B, OKEECHOBEE, FL 34972
(863) 824-3480
(863) 824-0588
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP11573
AZ
363LG0600X
Gerontology Nurse Practitioner
ARNP9313741
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP11573
NP LICENSE
AZ
01
—
ARNP9313741
MEDICAL LICENSE
FL
Enumeration date
10/30/2017
Last updated
05/02/2020
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