Provider Demographics
NPI:1821387630
Name:MERCADER, ELIZABETH (RN)
Entity Type:Individual
Prefix:MISS
First Name:ELIZABETH
Middle Name:
Last Name:MERCADER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3960 54TH ST
Mailing Address - Street 2:APT. 1B
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-4237
Mailing Address - Country:US
Mailing Address - Phone:718-216-1509
Mailing Address - Fax:
Practice Address - Street 1:3960 54TH ST
Practice Address - Street 2:APT. 1B
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-4237
Practice Address - Country:US
Practice Address - Phone:718-216-1509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-01
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY640723-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse