Most Relevant Information
Provider Data
| NPI Number: | 1003228149 |
| Provider Name: | MICHELLE KATHLEEN MERRELL APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 106451 |
Most Important Dates
| Enumeration Date: | 05/23/2014 |
| Last Updated: | 06/05/2022 |
Provider Practice Location
3800 S. BLVD,
EDMOND
OK
73013
Practice Location Phone/Fax
| Phone: | 4059059888 |
| Fax: |
Provider Mailing Location
3800 S. BOULEVARD
EDMOND
OK
73013
Provider Mailing Phone/Fax
| Phone: | 4054715655 |
| Fax: | 4052857187 |