Provider Demographics
NPI:1093058679
Name:MERCURIO, CHRISTI PATRICIA (RN, BSN)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTI
Middle Name:PATRICIA
Last Name:MERCURIO
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 TIFFANY RD
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-2724
Mailing Address - Country:US
Mailing Address - Phone:617-750-2866
Mailing Address - Fax:
Practice Address - Street 1:96 TIFFANY RD
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-2724
Practice Address - Country:US
Practice Address - Phone:617-750-2866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-01
Last Update Date:2013-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2261286163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse