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Individual

MS. TIFFANY NICHOLE MERCER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AG-ACNP, BC

Contact information

Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-6707
Mailing address
21150 N 36TH PL, PHOENIX, AZ 85050-8386
(602) 810-0617

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP11143
AZ

Other

Enumeration date
04/03/2018
Last updated
04/03/2018
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