Provider Demographics
NPI:1992988588
Name:MERRILL, CHRISTINA LAUREN (RN)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:LAUREN
Last Name:MERRILL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:APHN MAMC MCHJ-PV-C/ CPT MERRILL
Mailing Address - Street 2:BLDG. 9912-B (OMAMC) E. JOHNSON ST.
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98431-1100
Mailing Address - Country:US
Mailing Address - Phone:253-968-4382
Mailing Address - Fax:
Practice Address - Street 1:APHN MAMC MCHJ-PV-C/ CPT MERRILL
Practice Address - Street 2:BLDG. 9912-B (OMAMC) E. JOHNSON ST.
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-1100
Practice Address - Country:US
Practice Address - Phone:253-968-4382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA639858163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health