Individual
MRS. HAILEE MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
810 VALLEY VIEW BLVD, ALTOONA, PA 16602-6342
(814) 946-5469
(814) 946-4970
Mailing address
810 VALLEY VIEW BLVD, ALTOONA, PA 16602-6342
(814) 946-5469
(814) 946-4970
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA052994
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033035420001
—
PA
Enumeration date
03/29/2008
Last updated
04/09/2021
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