Merriweather, Tae'Lr T
Merriweather, Tae'Lr T is an sole proprietor health care provider with primary practice located at 5165 Mccarty Ln , Lafayette IN 47905-8764. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Merriweather, Tae'Lr T can be contacted via phone (765) 448-8000.Contact Information
Primary practice address
5165 Mccarty Ln
Lafayette IN 47905-8764
Phone: (765) 448-8000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 71013877A | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71013877A | Indiana |
Profile Details
NPI number | 1952092421 |
---|---|
LBN Legal business name | Merriweather, Tae'Lr T |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 16th, 2023 |
Last updated | Jun 28th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952092421 | NPPES |
Indiana | MEDICAID | 300076105 | |
Indiana | Other | 815500565 |
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