Individual
LISA MERCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN CNM
Contact information
Practice address
419 6TH ST SUITE 202, CRESTED BUTTE, CO 81224
(970) 349-0100
(647) 714-8238
Mailing address
PO BOX 1273, CRESTED BUTTE, CO 81224-1273
(970) 349-0100
(647) 714-8238
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
RN123427
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72057840
—
CO
01
—
840446259091
RMHMO
CO
01
—
TRT67032
BCBS
CO
Enumeration date
12/05/2006
Last updated
03/29/2018
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