Provider Demographics
NPI:1194208645
Name:TORCATO, MERCY (CRNP)
Entity Type:Individual
Prefix:
First Name:MERCY
Middle Name:
Last Name:TORCATO
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 BLACK WALNUT LN
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-1948
Mailing Address - Country:US
Mailing Address - Phone:610-505-1458
Mailing Address - Fax:
Practice Address - Street 1:5900 RISING SUN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19120-1117
Practice Address - Country:US
Practice Address - Phone:215-722-2022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-11
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA20189522363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA20189522OtherPEDIATRIC NURSING CERTIFICATION BOARD
PARN349439LOtherSTATE BOARD OF NURSING