Most Relevant Information
Provider Data
| NPI Number: | 1003316209 |
| Provider Name: | MARISHIA MERRIWEATHER LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 5212921 |
Most Important Dates
| Enumeration Date: | 02/14/2018 |
| Last Updated: | 02/14/2018 |
Provider Practice Location
702 CRYSTAL WAY
ORANGE PARK
FL
320655502
Practice Location Phone/Fax
| Phone: | 9045560348 |
| Fax: |
Provider Mailing Location
702 CRYSTAL WAY
ORANGE PARK
FL
320655502
Provider Mailing Phone/Fax
| Phone: | 9045560348 |
| Fax: |