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Individual

AMY ELIZABETH MERCER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA C

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
APA1624
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200107870A
OK
05
200468380Y
OK
Enumeration date
01/23/2007
Last updated
06/17/2026
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