Merline Petit, LPN
Individual provider Active NPI Licensed Practical Nurse · Oakridge, OR
NPI 1962863191 · NPPES record last updated Mar 16, 2016
Key facts
- NPI
- 1962863191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 201405586LPN (OR)
- Practice address
- 47878 Highway 58
Unit # 17
Oakridge, OR 97463-9572 - Phone
- (561) 633-5360
- NPI assigned
- Mar 16, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201405586LPN | OR | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 201405586LPN | OR | Yes |
Addresses
Primary practice location
47878 Highway 58
Unit # 17
Oakridge, OR 97463-9572
Mailing address
47878 Hwy 58
Unit # 17
Oakridge, OR 97463
Phone (561) 633-5360
Other providers in Oakridge, OR
- Brianna Mortier
- Monique M Moya
- Oakridge Massage Therapy
- Orchid Oakridge Clinic, P.C.
- Laurie Patty
- Clem V Pope
- Postal Pharmacy Inc
- Michael M Powell
- Laura Robson
- Sandra Jean Samson
All providers in Oakridge, OR · Licensed Practical Nurse in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.