Individual ProviderHeather MerrillNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address25 N 100 E Ste 102, St George, UT 84770-7369(435) 986-2565PECOS EnrollmentBased on the most recent information from CMS, provider Heather Merrill is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1033752647Provider TypeIndividualFull NameMerrill, HeatherCredentialFNPGenderFemaleSole ProprietorNoEnumeration Date10/26/2019Last Updated7/27/2021Contact InformationPractice LocationPractice Address25 N 100 E Ste 102, St George, UT 84770-7369Phone(435) 986-2565FaxUnlisted FaxMailing LocationMailing Address25 N 100 E Ste 102, St George, UT 84770-7369Phone(435) 986-2565FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense10331560-4405UtahCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicense10331560-3102Utah