Individual
NICHOLE MARIE MERRIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37 MAIN ST, WHITESBORO, NY 13492-1034
(315) 624-8800
Mailing address
318 CHARLES ST, BOONVILLE, NY 13309-1338
(315) 941-2468
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
357125
NY
Other
Enumeration date
05/27/2025
Last updated
11/26/2025
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