Individual
FANNY JACQUELINE MERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
145 CHAMBERS ST, NEW YORK, NY 10007-1318
(212) 227-2294
(212) 227-0355
Mailing address
145 CHAMBERS ST, NEW YORK, NY 10007-1318
(212) 227-2294
(212) 227-0355
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F420960-1
NY
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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