| NPI | 1447647474 |
|---|---|
| Other Name | NICO MERRITT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IN 36002356A) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2024-11-22 |