Individual
LEANA ELIZABETH MERCURIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-PC
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(180) 087-9246
Mailing address
500 N 18TH ST APT 507, PHILADELPHIA, PA 19130-3951
(973) 303-0910
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP029475
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
SP029475
PA
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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