Provider Demographics
NPI:1457034258
Name:MERRIWEATHER, CAMARISK (CNA)
Entity Type:Individual
Prefix:
First Name:CAMARISK
Middle Name:
Last Name:MERRIWEATHER
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:CAMARISK
Other - Middle Name:
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:322 STONE RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:HIRAM
Mailing Address - State:GA
Mailing Address - Zip Code:30141-4589
Mailing Address - Country:US
Mailing Address - Phone:616-589-7085
Mailing Address - Fax:
Practice Address - Street 1:322 STONE RIDGE CIR
Practice Address - Street 2:
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141-4589
Practice Address - Country:US
Practice Address - Phone:616-589-7085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACN0014208061376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide