Individual provider · Type 1 NPI
Kathleen McCormick Mercer, APN
Pediatric Nurse Practitioner · Dover, DE
NPI number
1104830843
Active
Practice location
611 S Dupont Highway
Dover, DE 19901-4507
Fax (302) 741-2007
Mailing address
PO Box 191, Provider Enrollment Dept
Rockland, DE 19732-0191
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | LJ0000119 (DE) |
| Nurse Practitioner | 363L00000X | L10022291 (DE) |
Pediatric Nurse Practitioner: Definition to come...
Other pediatric nurse practitioner providers in Dover
About NPI 1104830843
Kathleen McCormick Mercer, APN's National Provider Identifier is 1104830843, issued on Jul 28, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Dover, DE. The record was last updated on Dec 29, 2011.