Provider Demographics
NPI:1336525203
Name:TUNSTALL-STROMAN, MERILYN JULIANA (APRN)
Entity Type:Individual
Prefix:MS
First Name:MERILYN
Middle Name:JULIANA
Last Name:TUNSTALL-STROMAN
Suffix:
Gender:F
Credentials:APRN
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Other - First Name:
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Mailing Address - Street 1:4201 MEDICAL CENTER DR STE 180
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-1778
Mailing Address - Country:US
Mailing Address - Phone:972-548-9690
Mailing Address - Fax:972-542-7715
Practice Address - Street 1:4201 MEDICAL CENTER DR STE 180
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1778
Practice Address - Country:US
Practice Address - Phone:972-548-9690
Practice Address - Fax:972-542-7715
Is Sole Proprietor?:No
Enumeration Date:2015-08-03
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PARN636202163W00000X
NJ26NR16153900163WM0705X
TXAP130335363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX486577YN85Medicare PIN