| Doctor Name: | WARREN LANE MERRIETT |
| NPI Number: | 1063651925 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | R860406 |
| Business Practice Address: | 105 Northgate Rd Suite 2 Natchez, MS - 391209162 |
| Business Phone Number: | 6014427141 |
| Business Fax Number: | 6014427343 |
| Mailing Address: | 105 Northgate Rd, Suite 2 NATCHEZ |
| State: | MS |
| Postal Code: | 391209162 |
| Phone Number: | 6014427141 |
| Fax Number: | 6014427343 |
| NPI Enumeration Date: | 02/16/2009 |
| NPI Last Update Date: | 05/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R860406 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |