Individual
TERESA MERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,IBCLC
Contact information
Practice address
1210 GADD RD, HIXSON, TN 37343-3917
(701) 690-7243
Mailing address
1210 GADD RD, HIXSON, TN 37343-3917
(701) 690-7243
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
213334
TN
163WR1000X
Reproductive Endocrinology/Infertility Registered Nurse
213334
TN
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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