Provider Demographics
NPI:1750130621
Name:MERRELL, SAKIE
Entity type:Individual
Prefix:
First Name:SAKIE
Middle Name:
Last Name:MERRELL
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:PO BOX 1747
Mailing Address - Street 2:
Mailing Address - City:NATALBANY
Mailing Address - State:LA
Mailing Address - Zip Code:70451-1747
Mailing Address - Country:US
Mailing Address - Phone:504-812-4528
Mailing Address - Fax:
Practice Address - Street 1:47334 DEAD END ST.
Practice Address - Street 2:
Practice Address - City:NATALBANY
Practice Address - State:LA
Practice Address - Zip Code:70451
Practice Address - Country:US
Practice Address - Phone:504-812-4528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy