Individual
MS. HOLLIS L MERTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3000 NEW BERN AVE, 3RD FLOOR, WAKE MED FACULTY PHYSICIANS NEONATOLOGY, RALEIGH, NC 27610-1231
(919) 350-8105
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(877) 498-4490
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
139605
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007906261Q
HUMANA
—
05
—
41178300
—
WI
Enumeration date
05/15/2006
Last updated
03/09/2021
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