Individual
MRS. JOANN MERCEDES
Active
Individual
MRS. JOANN MERCEDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
618865-1
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F382480-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
618865-1
RN LICENSE
NY
01
—
F382480-1
PEDIATRIC NURSE PRACTITIONER LICENSE
NY
Enumeration date
03/18/2015
Last updated
03/19/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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