Provider Demographics
NPI:1295860245
Name:ECHEVARRIA, MERCEDES (APN)
Entity Type:Individual
Prefix:MS
First Name:MERCEDES
Middle Name:
Last Name:ECHEVARRIA
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 RICHARDS DR
Mailing Address - Street 2:
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-1733
Mailing Address - Country:US
Mailing Address - Phone:732-727-2686
Mailing Address - Fax:
Practice Address - Street 1:700 COOKMAN AVE
Practice Address - Street 2:
Practice Address - City:ASBURY PARK
Practice Address - State:NJ
Practice Address - Zip Code:07712-7008
Practice Address - Country:US
Practice Address - Phone:732-599-9666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN08248300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily