Basic Information
| Provider Information | |||||||||
| NPI: | 1861796377 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MERITT | ||||||||
| FirstName: | FRANCES | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | CNM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 316 WEST SECOND STREET | ||||||||
| Address2: | |||||||||
| City: | MOREHEAD | ||||||||
| State: | KY | ||||||||
| PostalCode: | 403511180 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6067843771 | ||||||||
| FaxNumber: | 6067836847 | ||||||||
| Practice Location | |||||||||
| Address1: | UK MOREHEAD WOMEN'S HEALTHCARE | ||||||||
| Address2: | 555 W SUN ST | ||||||||
| City: | MOREHEAD | ||||||||
| State: | KY | ||||||||
| PostalCode: | 403511563 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6062072931 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/28/2010 | ||||||||
| LastUpdateDate: | 12/13/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/13/2019 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 3007316 | KY | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 367A00000X | 3007316 | KY | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
ID Information
| ID | Type | State | Issuer | Description | 7100195760 | 05 | KY | MEDICAID |