| NPI | 1831231489 |
|---|---|
| Former Name | MANDY MARIE MERCADO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0010271) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 160741) |
| 363L00000X Nurse Practitioner (Licence: CO 10271) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-20 |