DR. RICHARD MARK MERRILL NURSE PRACTITIONER NPI 1720458599

NPI Information

  • NPI: 1720458599
  • Provider Name: DR. RICHARD MARK MERRILL, NURSE PRACTITIONER
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 422 MDS/SGN
    UNIT 4628
    APO, AE
    ZIP 09494
  • Phone: (314) 236-8125

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NPI Details

DR. Richard Mark Merrill, NURSE PRACTITIONER is a pediatrics nurse practitioner in Apo, AE. DR. Richard Mark Merrill, NURSE PRACTITIONER NPI is 1720458599. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

422 MDS/SGN
UNIT 4628
APO, AE
ZIP 09494-628
Phone: (314) 236-8125

The NPI 1720458599 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/5/2015 and was last updated on 4/26/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatrics9361765-4405UTAHYes
2363LP0222XNurse PractitionerPediatrics, Critical Care9361765-4405UTAHNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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