Provider Demographics
NPI:1528330388
Name:MERCHANT, KSHITI (NP)
Entity type:Individual
Prefix:
First Name:KSHITI
Middle Name:
Last Name:MERCHANT
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:120 WATER STREET
Mailing Address - Street 2:SUITE 404
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845
Mailing Address - Country:US
Mailing Address - Phone:978-558-4120
Mailing Address - Fax:866-551-4363
Practice Address - Street 1:120 WATER STREET
Practice Address - Street 2:SUITE 404
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845
Practice Address - Country:US
Practice Address - Phone:978-558-4120
Practice Address - Fax:866-551-4363
Is Sole Proprietor?:No
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MARN269050363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology