| Doctor Name: | SANDRA P MERTZ |
| NPI Number: | 1033242862 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, IBCLC |
| License Number: | R198259 |
| Business Practice Address: | 533 Majestic Prince Circle Havre De Grace, MD - 210782795 |
| Business Phone Number: | 4436684377 |
| Business Fax Number: | 4437290620 |
| Mailing Address: | 533 Majestic Prince Circle, HAVRE DE GRACE |
| State: | MD |
| Postal Code: | 210782795 |
| Phone Number: | 4436694377 |
| Fax Number: | 4437290620 |
| NPI Enumeration Date: | 03/13/2007 |
| NPI Last Update Date: | 07/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WL0100X |
| License Number: | R198259 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Lactation Consultant |
| Taxonomy Definition: | |