Provider Demographics
NPI:1538440706
Name:MERIME, DANAE STEPHANIE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:DANAE
Middle Name:STEPHANIE
Last Name:MERIME
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 LINCOLN PARK DR
Mailing Address - Street 2:
Mailing Address - City:NEW LEXINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43764-1033
Mailing Address - Country:US
Mailing Address - Phone:740-342-5677
Mailing Address - Fax:
Practice Address - Street 1:401 LINCOLN PARK DR
Practice Address - Street 2:
Practice Address - City:NEW LEXINGTON
Practice Address - State:OH
Practice Address - Zip Code:43764-1033
Practice Address - Country:US
Practice Address - Phone:740-342-5677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-01
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50003322363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant