Provider Demographics
NPI:1467914077
Name:VIATOR, MERCY (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:MERCY
Middle Name:
Last Name:VIATOR
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 1:7671 QUARTERFIELD RD STE 200
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-4407
Mailing Address - Country:US
Mailing Address - Phone:410-766-0111
Mailing Address - Fax:410-582-9155
Practice Address - Street 1:7671 QUARTERFIELD RD STE 200
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-4407
Practice Address - Country:US
Practice Address - Phone:410-766-0111
Practice Address - Fax:410-582-9155
Is Sole Proprietor?:No
Enumeration Date:2019-04-02
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR181866363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily