Fanny Jacqueline Mera WHNP-BC

NPI 1053635003 - Nurse Practitioner - 363LW0102X

NPI Details
NPI 1053635003
Gender Female
Enumeration Date 03/19/2010
Last Updated 03/19/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
145 CHAMBERS ST
NEW YORK NY, 10007-1318, US
Phone (212) 227-2294
Fax (212) 227-0355
Business Location
145 CHAMBERS ST
NEW YORK NY, 10007-1318, US
Phone (212) 227-2294
Fax (212) 227-0355
Toxanomy
Taxonomy Code 363LW0102X
License State New York
License Number F420960-1
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According to our database, Fanny Jacqueline Mera WHNP-BC NPI is 1053635003, taxonomy code is 363LW0102X and license number is F420960-1, license state is located at New York. Fanny Jacqueline Mera WHNP-BC physically located at 145 Chambers St, New York NY, 10007-1318. NPI Number Fanny Jacqueline Mera WHNP-BC has the Individual type.

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1053635003 NPI number is provided on an as is basis without warranty of any kind. 1053635003 is maintained by the National Plan & Provider Enumeration System. The contents of Fanny Jacqueline Mera WHNP-BC are for informational purposes only.