Individual
SARA WALLENIUS MERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A/GNP
Contact information
Practice address
286 OVERLOOK RD, ASHEVILLE, NC 28803-3317
(828) 213-8442
Mailing address
501 BILTMORE AVE STE G276.10, ASHEVILLE, NC 28801-4601
(828) 213-4502
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5005118
NC
363LA2200X
Adult Health Nurse Practitioner
200950150NP
OR
363LG0600X
Gerontology Nurse Practitioner
99007553N4
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292676
—
OR
Enumeration date
06/19/2006
Last updated
03/29/2019
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