NICOLE MERRILL (NPI# 1154735843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154735843 |
Entity Type | Individual |
Full Name | NICOLE MERRILL |
Credential | NP |
Practice Address |
15 Gracelawn Rd Ste 101 Auburn ME 04210 |
Mailing Address |
Po Box 7291 Lewiston ME 04243-7291 |
Practice Telephone | 2073334710 |
Practice Fax Number | 2073334715 |
Mailing Telephone | 2077778950 |
Mailing Fax Number | 2077778800 |
Enumeration Date | 2014-06-20 |
Last Update Date | 2019-01-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP141050 | ME | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
91 Campus Ave, Lewiston, ME 042406030 | 2077778120 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457632200 | Nicole Scairono Merrill | Audiologist | 15190 Community Rd, Suite 100, Gulfport, MS 39503-3485 | 2011-09-07 |
Street Address |
15 GRACELAWN RD STE 101 |
City | AUBURN |
State | ME |
Zip Code | 04210 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568550341 | Laura M. Glaser | Physician Assistant | 15 Gracelawn Rd Ste 101, Auburn, ME 04210 | 2006-10-10 |
1346624269 | Alicia Lynn Mello | Physician Assistant | 15 Gracelawn Rd Ste 101, Auburn, ME 04210-6347 | 2015-07-10 |
1144394099 | Jeffrey Neil Davila | Orthopaedic Surgery | 15 Gracelawn Rd Ste 101, Auburn, ME 04210-6347 | 2006-11-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538632245 | Matthew Charles Dove | Specialist/Technologist | 30 Belgrade Ave, Suite A, Auburn, ME 04210 | 2019-01-04 |
1851880603 | Dba Central Maine Conditioning Clinic | Massage Therapist | 30 Belgrade Ave Suite A, Auburn, ME 04210 | 2018-05-08 |
1285189654 | Kimberly Ann Boutwell | Nurse Practitioner | 15 Gracelawn Road, Auburn, ME 04210 | 2016-08-16 |
1487036554 | Eric Morrow | Specialist/Technologist | 36 Belgrade Ave, Auburn, ME 04210 | 2015-06-24 |
1750770152 | Larissa J Brown | Marriage & Family Therapist | 86 Main Sreet, Suite 302, Auburn, ME 04210 | 2015-01-22 |
1659771046 | Daniel Fontaine | Pharmacist | 689 Minot Ave., Auburn, ME 04210 | 2014-09-04 |
1104236793 | Caitlin White | Occupational Therapist | 415 Rodman Road, Auburn, ME 04210 | 2014-05-05 |
1780954883 | Richard Marc Pelletier | Counselor | 24 Dunn Street, Auburn, ME 04210 | 2012-01-05 |
1285929026 | Cynthia Morgan | Social Worker | 60 Court St., Auburn, ME 04210 | 2011-06-09 |
1972811164 | Wendy Thomas-blais | Social Worker | 229 Center St 2, Auburn, ME 04210 | 2010-09-22 |
Find all providers in zip 04210 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154935658 | Judith A Glover | Nurse Practitioner | 1101 Rock Elm Dr, Auburn, GA 30011-2393 | 2020-09-02 |
1568075190 | Carey Webster | Nurse Practitioner | 11775 Education St Ste 210, Auburn, CA 95602-2453 | 2020-08-24 |
1043860299 | Kimberly Danner | Nurse Practitioner | 507 Red Bud Ln, Auburn, IL 62615-9357 | 2019-09-18 |
1467001214 | Lauren Elizabeth Sabo | Nurse Practitioner | 906 W North St, Auburn, IL 62615-1046 | 2019-09-04 |
1952876294 | Modeline Jules | Nurse Practitioner | 125 3rd St Ne Ste 403, Auburn, WA 98002 | 2018-10-12 |
1063987162 | Shadiyah S Tawwab | Nurse Practitioner | 1702 Catherine Ct Ste 1a, Auburn, AL 36830-5790 | 2018-10-04 |
1801370812 | Catherine Molly Kohl | Nurse Practitioner | 1702 Catherine Ct Ste A, Auburn, AL 36830-5755 | 2018-09-17 |
1518443258 | Kelly Elizabeth Cordon | Nurse Practitioner | 77 Nelson St Fl 3, Auburn, NY 13021-1944 | 2018-07-16 |
1750873329 | Claire Wakulyaka | Nurse Practitioner | 39 Bryn Mawr Ave, Auburn, MA 01501-1636 | 2018-05-30 |
1467963710 | Alissa Marie Dippolito | Nurse Practitioner | 77 Nelson St Ste 310, Auburn, NY 13021-1945 | 2017-10-13 |
Find all providers in AUBURN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.