Individual
SANDRA P MERTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
533 MAJESTIC PRINCE CIRCLE, HAVRE DE GRACE, MD 21078-2795
(443) 668-4377
(443) 729-0620
Mailing address
533 MAJESTIC PRINCE CIRCLE, HAVRE DE GRACE, MD 21078-2795
(443) 669-4377
(443) 729-0620
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
R198259
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015976760001
—
PA
Enumeration date
03/13/2007
Last updated
07/30/2012
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