Provider Demographics
NPI:1942433115
Name:ARANCIBIA, MERCEDES (RN)
Entity Type:Individual
Prefix:
First Name:MERCEDES
Middle Name:
Last Name:ARANCIBIA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4775 JIMMY CARTER BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-3760
Mailing Address - Country:US
Mailing Address - Phone:770-638-8446
Mailing Address - Fax:770-806-0901
Practice Address - Street 1:4775 JIMMY CARTER BLVD STE 300
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-3760
Practice Address - Country:US
Practice Address - Phone:770-638-8446
Practice Address - Fax:770-806-0901
Is Sole Proprietor?:No
Enumeration Date:2009-09-03
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA104299364SW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SW0102XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistWomen's Health