Individual
KRISTIN BETH MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
1821 S WEBSTER AVE, GREEN BAY, WI 54301-2253
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5093
WI
363LA2100X
Acute Care Nurse Practitioner
5093-33
WI
Other
Enumeration date
10/15/2012
Last updated
10/13/2021
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