Provider Demographics
NPI:1144611922
Name:MERLINO, DEMI DELISE (APRN, MNSC)
Entity Type:Individual
Prefix:MRS
First Name:DEMI
Middle Name:DELISE
Last Name:MERLINO
Suffix:
Gender:F
Credentials:APRN, MNSC
Other - Prefix:
Other - First Name:DEMI
Other - Middle Name:DELISE
Other - Last Name:NESBITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:7800 DALLAS ST
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-4278
Mailing Address - Country:US
Mailing Address - Phone:479-314-4940
Mailing Address - Fax:479-478-7291
Practice Address - Street 1:7800 DALLAS ST
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-4278
Practice Address - Country:US
Practice Address - Phone:479-314-4940
Practice Address - Fax:794-787-2914
Is Sole Proprietor?:No
Enumeration Date:2015-02-14
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA004320363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care