Provider Demographics
NPI:1700150083
Name:MERZ, ALEXIS ANNE
Entity Type:Individual
Prefix:MS
First Name:ALEXIS
Middle Name:ANNE
Last Name:MERZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7148 CHERRYWOOD FOREST LN
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89156-1006
Mailing Address - Country:US
Mailing Address - Phone:702-461-5025
Mailing Address - Fax:
Practice Address - Street 1:7148 CHERRYWOOD FOREST LN
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89156-1006
Practice Address - Country:US
Practice Address - Phone:702-461-5025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-03
Last Update Date:2012-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health