MEDICARE: SHIRLIN MERISIER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224P00000X	Prosthetist
2	1744P3200X	Prosthetics Case Management

General Provider Information

NPI Number	:	1457920555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHIRLIN MERISIER

Provider Business Mailing Address
First Line	:	6600 NW EXPRESSWAY
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-4403
Country	:	US
Telephone Number	:	786-604-5754
Fax Number	:

Provider Business Practice Location Address
First Line	:	6600 NW EXPRESSWAY
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-4403
Country	:	US
Telephone Number	:	786-604-5754
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2021
Last Update Date	:	06/25/2021

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Directions to “ SHIRLIN MERISIER ” Practice Location

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