Individual
RUBI BALTAZAR MERINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2231 NASH ST NW, WILSON, NC 27896-1712
(252) 320-0544
Mailing address
2146 SIR HUGH CT, GREENVILLE, NC 27858-8524
(252) 320-0544
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
204783
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5013099
NC
Other
Enumeration date
03/17/2020
Last updated
05/13/2020
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