Merold, Vicki Pauline

Merold, Vicki Pauline is an individual health care provider with primary practice located at 1717 N E St Ste 331, Pensacola FL 32501-6335. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Merold, Vicki Pauline can be contacted via phone (850) 484-6500.

Contact Information

Primary practice address
1717 N E St Ste 331 Pensacola FL 32501-6335
Phone: (850) 484-6500
Fax: (850) 857-1747
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP1233422 Florida

Profile Details

NPI number 1104815455
LBN Legal business name Merold, Vicki Pauline
Credentials ARNP C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Jun 17th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104815455 NPPES
Florida MEDICAID 307108100
Florida Other 1104815455

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