CAMILLE HAYNES MERLIN (NPI# 1730645276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730645276 |
| Entity Type | Individual |
| Full Name | CAMILLE HAYNES MERLIN |
| Credential | NP |
| Practice Address |
2907 Pleasant Valley Blvd Altoona PA 16602-4305 |
| Mailing Address |
1906 Dexter Ave Ann Arbor MI 48103-4078 |
| Practice Telephone | 8149438164 |
| Mailing Telephone | 7343957504 |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704275829 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
4704275829 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANCC | 2017028390 | 01 | |
| MI | DEPARTMENT OF LICENSING | 4704275829 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2215 Fuller Rd, Ann Arbor, MI 481052303 | 7343957504 |
| Street Address |
2907 PLEASANT VALLEY BLVD |
| City | ALTOONA |
| State | PA |
| Zip Code | 16602-4305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831195684 | A. Leonard Zimmerman | Otolaryngology | 2907 Pleasant Valley Blvd, James E. Vanzandt Medical Center, Altoona, PA 16602-4305 | 2005-06-27 |
| 1184241820 | Victoria Aaron | Social Worker | 2907 Pleasant Valley Blvd, Altoona, PA 16602-4305 | 2020-06-29 |
| 1245851591 | Chelsey Lynn Chambers | Pharmacist | 2907 Pleasant Valley Blvd, Altoona, PA 16602-4305 | 2020-04-28 |
| 1659991651 | Sara Renee Meese | Nurse Practitioner | 2907 Pleasant Valley Blvd, Altoona, PA 16602-4305 | 2020-04-20 |
| 1194345298 | Daniel Lewis Weinzierl | Nurse Practitioner | 2907 Pleasant Valley Blvd, Altoona, PA 16602-4305 | 2020-04-20 |
| 1306485719 | Billy Tomchick | Social Worker | 2907 Pleasant Valley Blvd, Altoona, PA 16602-4305 | 2020-01-02 |
| 1447899208 | Matthew Wolfe | Social Worker | 2907 Pleasant Valley Blvd, Altoona, PA 16602-4305 | 2019-12-27 |
| 1366964348 | Amy Michelle Trn | Dentist | 2907 Pleasant Valley Blvd, Altoona, PA 16602 | 2017-07-12 |
| 1861928392 | Gregory Woelfl | Radiologic Technologist | 2907 Pleasant Valley Blvd, Altoona, PA 16602-4305 | 2017-05-03 |
| 1093256851 | Jesse Gutshall | Social Worker | 2907 Pleasant Valley Blvd, Altoona, PA 16602-4305 | 2017-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817646 | John Francis Cain | Registered Nurse | 319 Meadowlark Ave, Altoona, PA 16602 | 2020-10-06 |
| 1023650991 | Rahaf Obeid | Pharmacist | 508 E Plank Road, Altoona, PA 16602 | 2019-10-12 |
| 1346713641 | Justin M Delasko | Dietitian, Registered | 905 Logan Blvd, Altoona, PA 16602 | 2019-01-09 |
| 1679932420 | Dottie Jean Morgan | Speech-Language Pathologist | 501 Valley View Blvd., Altoona, PA 16602 | 2016-02-22 |
| 1922409283 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 1600 9th Avenue, Altoona, PA 16602 | 2014-09-05 |
| 1972918878 | Grane Hospice Care, Inc. | Hospice Care, Community Based | 115 Union Ave Ste 100, Altoona, PA 16602 | 2014-06-30 |
| 1033524921 | Grane Hospice Care, Inc. | Home Health | 115 Union Ave Ste 300, Altoona, PA 16602 | 2014-06-30 |
| 1306184858 | Lighthouse Medical, LLC | Physical Medicine & Rehabilitation | 301 E. Pleasant Valley Blvd, Altoona, PA 16602 | 2013-01-17 |
| 1497042576 | Michala Seidel | Counselor | 3010 7th Avenue, Alternative Community Resource Program, Altoona, PA 16602 | 2011-07-08 |
| 1205121647 | Rebekah Brown | Preventive Medicine | 301 E Pleasant Valley Blvd., Altoona, PA 16602 | 2011-06-14 |
| Find all providers in zip 16602 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578432 | Priscilla Sumerlin | Nurse Practitioner | 320 Adventureland Dr Nw, Altoona, IA 50009-4234 | 2020-11-06 |
| 1104456920 | Southern Divine Family Medical Center LLC | Nurse Practitioner | 7130 6th Ave, Altoona, AL 35952-9052 | 2020-01-21 |
| 1053939900 | Elizabeth Lantznester | Nurse Practitioner | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-07-08 |
| 1184256919 | Alyson Strapple | Nurse Practitioner | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-02-10 |
| 1558904631 | Katherine M Ford | Nurse Practitioner | 620 Howard Ave, Altoona, PA 16601-4804 | 2019-10-22 |
| 1962063735 | Victoria Scott | Nurse Practitioner | 620 Howard Ave, Altoona, PA 16601-4804 | 2019-06-24 |
| 1881259638 | Mandi Krach | Nurse Practitioner | 620 Howard Ave, Altoona, PA 16601-4804 | 2019-05-07 |
| 1083171912 | Benjamin Russell Stape | Nurse Practitioner | 620 Howard Ave, Altoona, PA 16601-4804 | 2019-02-27 |
| 1356771406 | Brianne J Baker | Nurse Practitioner | 1414 9th Ave, Altoona, PA 16602-2415 | 2013-11-26 |
| 1912241969 | David Patrick Bickers | Nurse Practitioner | 620 Howard Ave, Altoona, PA 16601-4804 | 2012-11-15 |
| Find all providers in ALTOONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.