Individual
ELIZABETH MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 N KANSAS AVE, LIBERAL, KS 67901-3304
(620) 417-0028
Mailing address
502 N KANSAS AVE, LIBERAL, KS 67901-3304
(620) 417-0028
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
79075
KS
Other
Enumeration date
10/31/2019
Last updated
12/30/2019
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