Individual
MARISA MARIA MERCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 331-3406
Mailing address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 331-3406
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28294743A
IN
363L00000X
Nurse Practitioner
Primary
71016515A
IN
363LF0000X
Family Nurse Practitioner
71016515A
IN
Other
Enumeration date
03/07/2025
Last updated
06/17/2025
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