Merritt, Debra Rose

Merritt, Debra Rose is an individual health care provider with primary practice located at 1211 Virginia St , Greensboro NC 27401-1313. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Merritt, Debra Rose can be contacted via phone (336) 272-0101.

Contact Information

Primary practice address
1211 Virginia St Greensboro NC 27401-1313
Phone: (336) 272-0101
Fax: (336) 272-4063
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 086581 North Carolina

Profile Details

NPI number 1134199813
LBN Legal business name Merritt, Debra Rose
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jul 8th, 2007 - about 17 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 1134199813 NPPES
North Carolina MEDICAID 8050030

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