Individual
FABIOLA MERCHANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, ANP
Contact information
Practice address
203 S CANDY LN STE 6AB, COTTONWOOD, AZ 86326-4120
(928) 634-0391
(928) 634-6145
Mailing address
203 S CANDY LN STE 6AB, COTTONWOOD, AZ 86326-4120
(928) 634-0391
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
218773
AZ
363LW0102X
Women's Health Nurse Practitioner
218773
AZ
367A00000X
Advanced Practice Midwife
Primary
218773
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
218773
LICENSE
AZ
Enumeration date
11/07/2018
Last updated
06/11/2019
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