Individual
SARAH MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 GRAND ST, HARTFORD, CT 06106-1541
(860) 550-7500
Mailing address
84 KINNEY HILL RD, NEW PRESTON, CT 06777-1811
(860) 868-7612
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
002021
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002021
APRN LICENSE
CT
01
—
R54523
RN LICENSE
CT
Enumeration date
05/25/2006
Last updated
07/08/2007
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