Garrison-North, Nefretiti Mer-En-Ra
Garrison-North, Nefretiti Mer-En-Ra is an individual health care provider with primary practice located at 211 Saint Francis Dr , Cape Girardeau MO 63703-5049. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Garrison-North, Nefretiti Mer-En-Ra can be contacted via phone (573) 331-5770.Contact Information
Primary practice address
211 Saint Francis Dr
Cape Girardeau MO 63703-5049
Phone: (573) 331-5770
Fax: (573) 331-3974
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2011012785 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2011012785 | Missouri |
Profile Details
| NPI number | 1023019015 |
|---|---|
| LBN Legal business name | Garrison-North, Nefretiti Mer-En-Ra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Feb 23rd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023019015 | NPPES |
| Louisiana | MEDICAID | 1042943 | |
| Louisiana | Other | 1023019015 | |
| Louisiana | Other | P00314514 |
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