Provider Demographics
NPI:1700395662
Name:MERCIER, ANDREA
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:MERCIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 AVIEMORE DR STE A
Mailing Address - Street 2:
Mailing Address - City:TOWNSEND
Mailing Address - State:DE
Mailing Address - Zip Code:19734-2820
Mailing Address - Country:US
Mailing Address - Phone:631-398-4168
Mailing Address - Fax:302-378-0626
Practice Address - Street 1:511 AVIEMORE DRIVE
Practice Address - Street 2:SUITE A
Practice Address - City:TOWNSEND
Practice Address - State:DE
Practice Address - Zip Code:19734
Practice Address - Country:US
Practice Address - Phone:631-398-4168
Practice Address - Fax:302-378-0626
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0052485163W00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No163W00000XNursing Service ProvidersRegistered Nurse