Healthcare Provider Details

I. General information

NPI: 1023980273
Provider Name (Legal Business Name): NICOLE MERKLE-RAYMOND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NIKKI MERKLE-RAYMOND

II. Dates (important events)

Enumeration Date: 09/18/2025
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1362 HAYES ST
SAN FRANCISCO CA
94117-1424
US

IV. Provider business mailing address

211 HEATHER LN
PALO ALTO CA
94303-3004
US

V. Phone/Fax

Practice location:
  • Phone: 650-269-9784
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: