Provider Demographics
NPI:1457920555
Name:MERISIER, SHIRLIN
Entity Type:Individual
Prefix:
First Name:SHIRLIN
Middle Name:
Last Name:MERISIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHIRLIN
Other - Middle Name:
Other - Last Name:FRANKLIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6600 NW EXPRESSWAY
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73132-4403
Mailing Address - Country:US
Mailing Address - Phone:786-604-5754
Mailing Address - Fax:
Practice Address - Street 1:6600 NW EXPRESSWAY
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73132-4403
Practice Address - Country:US
Practice Address - Phone:786-604-5754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-22
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management
No224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist