| Doctor Name: | WILLOW MERCHANT |
| NPI Number: | 1871952507 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP, RN, IBCLC |
| License Number: | 545590 |
| Business Practice Address: | 343 W Hilton Dr Boulder Creek, CA - 950069207 |
| Business Phone Number: | 6508629336 |
| Business Fax Number: | 8317034773 |
| Mailing Address: | 343 W Hilton Dr, BOULDER CREEK |
| State: | CA |
| Postal Code: | 950069207 |
| Phone Number: | 6508629336 |
| Fax Number: | 8317034773 |
| NPI Enumeration Date: | 02/23/2016 |
| NPI Last Update Date: | 02/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WL0100X |
| License Number: | 545590 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Lactation Consultant |
| Taxonomy Definition: | |