Provider Demographics
NPI:1821555202
Name:MERSON, AUNDREA LYN (RESPIRATORY THERAPIS)
Entity Type:Individual
Prefix:
First Name:AUNDREA
Middle Name:LYN
Last Name:MERSON
Suffix:
Gender:F
Credentials:RESPIRATORY THERAPIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1571 HARTLY RD
Mailing Address - Street 2:
Mailing Address - City:HARTLY
Mailing Address - State:DE
Mailing Address - Zip Code:19953-2761
Mailing Address - Country:US
Mailing Address - Phone:302-423-9110
Mailing Address - Fax:
Practice Address - Street 1:1571 HARTLY RD
Practice Address - Street 2:
Practice Address - City:HARTLY
Practice Address - State:DE
Practice Address - Zip Code:19953-2761
Practice Address - Country:US
Practice Address - Phone:302-423-9110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-21
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC9-0000909227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGroup - Single Specialty