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Individual

MS. EVELYN NADINE MERRIETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-C

Contact information

Practice address
8532 W CAPITOL DR STE 201, # 201, MILWAUKEE, WI 53222-1850
(414) 393-4002
(414) 393-4014
Mailing address
8532 W CAPITOL DR STE 201, # 201 PULMEDIX ASTHMA CARE CENTER & PFT LAB., MILWAUKEE, WI 53222-1850
(414) 393-4002
(414) 393-4014

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1594
WI
363LF0000X
Family Nurse Practitioner
Primary
1594 APNP
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0339855
NURSE PRACTITIONER
WI
01
65810-30
REGISTERED NURSE
WI
Enumeration date
03/29/2007
Last updated
01/21/2015
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