Individual
TAMMIE L MERICLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 226-4310
(419) 226-4315
Mailing address
PO BOX 636930, CINCINNATI, OH 45263-0001
(800) 514-4390
(440) 808-3676
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN240142
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
COA.12127-NP
OH
Other
Enumeration date
01/13/2011
Last updated
02/12/2014
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