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Individual

MERCEDES IVETTE TEJADA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
82 PATTEN RD, DEVENS, MA 01434-0143
(978) 796-1000
Mailing address
105 SHERBERT RD, ASHBURNHAM, MA 01430-3091
(978) 833-4575

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2318452
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2318452
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2318452
MA

Other

Enumeration date
09/08/2023
Last updated
09/26/2024
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