Individual provider · Type 1 NPI

Shonathan Edward Merricks, FNP-BC

Family Nurse Practitioner · Gonzales, LA

NPI number 1376057166 Active

Practice location

43057 Green Tree Ave
Gonzales, LA 70737-8594

Call (504) 701-4416 Map

Fax (504) 298-0132

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X121585 (LA)
Family Nurse Practitioner Primary 363LF0000X201571 (LA)

Family Nurse Practitioner: Definition to come...

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About NPI 1376057166

Shonathan Edward Merricks, FNP-BC's National Provider Identifier is 1376057166, issued on Dec 1, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gonzales, LA. The record was last updated on Feb 9, 2022.