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Individual

CHRISTINE C MERRITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
80 EATON STREET, MORRISVILLE STATE COLLEGE MATTHIAS STUDENT HEALTH CENTE, MORRISVILLE, NY 13408-0901
(315) 684-6078
(315) 684-6293
Mailing address
BOX 901, MORRISVILLE STATE COLLEGE MATTHAIS STUDENT HEALTH CENTE, MORRISVILLE, NY 13408-0901
(315) 684-6078
(315) 684-6493

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
300238
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01272848
NY
Enumeration date
02/15/2007
Last updated
04/24/2014
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