Provider Demographics
NPI:1710146196
Name:RAMOS, MARIA-AZUCENA MERCADO (FNP)
Entity Type:Individual
Prefix:MRS
First Name:MARIA-AZUCENA
Middle Name:MERCADO
Last Name:RAMOS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1111 MEDICAL CENTER BLVD STE S113
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-3151
Mailing Address - Country:US
Mailing Address - Phone:504-349-6520
Mailing Address - Fax:504-349-6522
Practice Address - Street 1:1111 MEDICAL CENTER BLVD STE S113
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-3151
Practice Address - Country:US
Practice Address - Phone:504-349-6520
Practice Address - Fax:504-349-6522
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA91087363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily