Provider Demographics
NPI:1477613073
Name:MERKLER, ANDREA FRANCES (APN, CDE)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:FRANCES
Last Name:MERKLER
Suffix:
Gender:F
Credentials:APN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15313 OAK RD
Mailing Address - Street 2:
Mailing Address - City:OAK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60452-1529
Mailing Address - Country:US
Mailing Address - Phone:708-525-8838
Mailing Address - Fax:
Practice Address - Street 1:4440 W 95TH ST
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2600
Practice Address - Country:US
Practice Address - Phone:708-684-1678
Practice Address - Fax:708-684-3371
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209001607364SP1700X
IL209-001607364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
No364SP1700XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPerinatal