Individual
MARIA TERESA MERCADO-GANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PHN, RN, NP
Contact information
Practice address
4820 BUSINESS CENTER DR STE 220, FAIRFIELD, CA 94534-1696
(707) 425-2289
Mailing address
4820 BUSINESS CENTER DR STE 220, FAIRFIELD, CA 94534-1696
(707) 425-2289
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95022207
CA
Other
Enumeration date
06/06/2023
Last updated
06/13/2023
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