Individual
TAYLOR A MERCIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP, FNP-BC
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-1680
Mailing address
2537 MOMENTUM PL, CHICAGO, IL 60689-5325
(616) 975-1845
(616) 285-0846
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704254285
MI
363LF0000X
Family Nurse Practitioner
4704254285
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N30190015
MEDICARE PTAN
MI
Enumeration date
08/24/2011
Last updated
03/25/2013
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