Individual
ANITA MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1775 THOMPSON RD, COOS BAY, OR 97420-2125
(541) 269-8036
Mailing address
1610 JOHNSON ST, NORTH BEND, OR 97459-1936
(541) 756-4407
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
200950052NP
OR
Other
Enumeration date
08/21/2009
Last updated
08/21/2009
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