Provider Demographics
NPI:1851576169
Name:MENDEN, MERRY JULIANA (RN FNP-BC MSN)
Entity Type:Individual
Prefix:MISS
First Name:MERRY
Middle Name:JULIANA
Last Name:MENDEN
Suffix:
Gender:F
Credentials:RN FNP-BC MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33953 WOODLAND CIR
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-5207
Mailing Address - Country:US
Mailing Address - Phone:858-775-1251
Mailing Address - Fax:
Practice Address - Street 1:26351 PATRIOTS WAY
Practice Address - Street 2:STOCKLEY CENTER
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947-2344
Practice Address - Country:US
Practice Address - Phone:302-933-3000
Practice Address - Fax:302-934-1953
Is Sole Proprietor?:No
Enumeration Date:2008-01-04
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN505812363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily