Individual
JOAN C ITANO MERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
11472 KENAI SPUR HWY, STE 2, KENAI, AK 99611-7756
(907) 283-6030
(907) 283-3194
Mailing address
11472 KENAI SPUR HWY, STE 2, KENAI, AK 99611-7756
(907) 283-6030
(907) 283-3194
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
215
AK
Other
Enumeration date
12/01/2006
Last updated
03/07/2022
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