IndividualActive
Anica Merritt
NPI 1104608371 · Other Specialist/Technologist · West Allis, WI
Provider details
- NPI number
- 1104608371
- Entity type
- Individual
- Primary specialty
- Other Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
- Specialist174400000X
Other Service Providers
Practice location
2210 S 108th St
West Allis, WI 53227-1108
Phone: (414) 982-0987
Approximate (ZIP-level) locationGet directions
Mailing address
2210 S 108th St
West Allis, WI 53227-1108
Registry dates
- Enumerated
- 2023-10-20
- Last updated
- 2023-12-28
- Certified
- 2023-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.