Mericle, Krista Nanette

Mericle, Krista Nanette is an sole proprietor health care provider with primary practice located at 117 Camino De Vida Ste 300 , Santa Rosa NM 88435-2267. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mericle, Krista Nanette can be contacted via phone (575) 472-4311.

Contact Information

Primary practice address
117 Camino De Vida Ste 300 Santa Rosa NM 88435-2267
Phone: (575) 472-4311
Fax: (877) 651-0289
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X NM-73375 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP-73289 New Mexico

Profile Details

NPI number 1023551363
LBN Legal business name Mericle, Krista Nanette
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2016
Last updated May 19th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023551363 NPPES
New Mexico MEDICAID E7582

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