| NPI | 1134634249 |
|---|---|
| Former Name | ANDREA LEE MERCADO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9426002) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9426002) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9426002) | |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2023-09-27 |