Individual
KYLER GRANT MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGPCNP-BC
Contact information
Practice address
2500 E HUNT DR, SHOW LOW, AZ 85901-7954
(928) 537-6328
(928) 537-0367
Mailing address
2500 E HUNT DR, SHOW LOW, AZ 85901-7954
(928) 537-6328
(928) 537-0367
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
103334
AZ
Other
Enumeration date
11/19/2019
Last updated
11/20/2019
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