Individual provider · Type 1 NPI

Justin Gregory Merzlock, FNP

Family Nurse Practitioner · Chubbuck, ID

NPI number 1013668847 Active

Practice location

4511 Zebe Ave
Chubbuck, ID 83202-4707

Fax (208) 904-4832

Mailing address

14926 W Brandy Ln
Pocatello, ID 83202-5345

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71322 (ID)

Family Nurse Practitioner: Definition to come...

9 other providers at this address

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About NPI 1013668847

Justin Gregory Merzlock, FNP's National Provider Identifier is 1013668847, issued on Jan 13, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chubbuck, ID. The record was last updated on Jan 13, 2022.