Provider Demographics
NPI:1609671189
Name:MERRITT, BRIGID C (LM, CPM)
Entity type:Individual
Prefix:
First Name:BRIGID
Middle Name:C
Last Name:MERRITT
Suffix:
Gender:
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4512 HAWLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92116-3401
Mailing Address - Country:US
Mailing Address - Phone:619-822-8384
Mailing Address - Fax:
Practice Address - Street 1:3737 CAMINO DEL RIO S STE 109
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-4007
Practice Address - Country:US
Practice Address - Phone:619-297-2229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM755176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife