Individual
MRS. EDITA B MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1224 GRAHAM RD, 1113, FLORISSANT, MO 63031-8028
(314) 839-4500
(314) 839-8521
Mailing address
1224 GRAHAM RD, 1113, FLORISSANT, MO 63031-8028
(314) 839-4500
(314) 839-8521
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
088761
MO
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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