Individual
CAMILLE HAYNES MERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2907 PLEASANT VALLEY BLVD, ALTOONA, PA 16602-4305
(814) 943-8164
Mailing address
1906 DEXTER AVE, ANN ARBOR, MI 48103-4078
(734) 395-7504
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704275829
MI
363LG0600X
Gerontology Nurse Practitioner
4704275829
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017028390
ANCC
—
01
—
4704275829
DEPARTMENT OF LICENSING
MI
Enumeration date
02/20/2019
Last updated
02/20/2019
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