Individual
KIMBERLY K MERRILL-MCNURLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6320 N. LA CHOLLA BLVD, #200, TUCSON, AZ 85741-3549
(520) 382-8200
(520) 297-3505
Mailing address
PO BOX 31630, TUCSON, AZ 85751-1630
(520) 784-6200
(520) 784-6109
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2222
AZ
363AS0400X
Surgical Physician Assistant
2222
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
764466
—
AZ
Enumeration date
04/28/2006
Last updated
04/07/2011
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