Healthcare Provider Details

I. General information

NPI: 1740691062
Provider Name (Legal Business Name): NICOLE MERLI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2014
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 SALEM TOWNE CT
APEX NC
27502-2311
US

IV. Provider business mailing address

130 SALEM TOWNE CT
APEX NC
27502-2311
US

V. Phone/Fax

Practice location:
  • Phone: 919-299-1825
  • Fax: 949-864-3117
Mailing address:
  • Phone: 919-299-1825
  • Fax: 949-864-3117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number202103251
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License Number202103251
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: