Individual
MISS GUERLINE MERCREDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
949 E 167TH ST, BRONX, NY 10459-1845
(718) 753-0126
Mailing address
949 E 167TH ST, BRONX, NY 10459-1845
(718) 753-0126
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
382121
NY
363LP0200X
Pediatric Nurse Practitioner
382121
NY
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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