Provider Demographics
NPI:1144047119
Name:MERRILL, ISABELLA JACQUELINE (ND)
Entity type:Individual
Prefix:
First Name:ISABELLA
Middle Name:JACQUELINE
Last Name:MERRILL
Suffix:
Gender:F
Credentials:ND
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 58622
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-1622
Mailing Address - Country:US
Mailing Address - Phone:206-816-5372
Mailing Address - Fax:
Practice Address - Street 1:18404 102ND AVE NE STE B
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-3380
Practice Address - Country:US
Practice Address - Phone:425-532-5413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-23
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath