Individual
NICOLAS MERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DAT, PA-C, ATC
Contact information
Practice address
3020 14TH ST NW, WASHINGTON, DC 20009-6865
(202) 469-4699
Mailing address
190 JACKSON ST, NEWTON CENTER, MA 02459-2540
(302) 423-2499
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
36002356A
IN
363A00000X
Physician Assistant
Primary
—
DC
Other
Enumeration date
04/16/2015
Last updated
11/22/2024
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