Individual
AUNDREA SHALISE MERCHANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
111 CLOCK TOWER CMNS, BREWSTER, NY 10509-4055
(845) 279-5187
(845) 279-5168
Mailing address
PO BOX 958, TARPON SPRINGS, FL 34688-0958
(727) 487-7066
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
353980
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11004282
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN11004282
FL
Other
Enumeration date
10/23/2019
Last updated
11/01/2024
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