NPI 1154735843 · live from the CMS NPI Registry
Nicole E Merrill, NP
Nurse Practitioner, Family in Portland, ME. National Provider Identifier 1154735843, active.
NPI record
| NPI | 1154735843 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 335 Brighton Ave Ste 200, Portland, ME 04102 |
| Practice phone | 207-662-8600 |
| Mailing address | Po Box 7291, Lewiston, ME 04243 |
| Enumerated | June 20, 2014 |
| Last updated | September 24, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Registered Nurse First Assistant | 163WR0006X | RN49827 (ME) |
| Nurse Practitioner, Family primary | 363LF0000X | CNP141050 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.