Provider Demographics
NPI:1649339029
Name:MERCATANTE, BEATRICE ANNE (CNM, MSN)
Entity type:Individual
Prefix:
First Name:BEATRICE
Middle Name:ANNE
Last Name:MERCATANTE
Suffix:
Gender:F
Credentials:CNM, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 THORNHOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-7257
Mailing Address - Country:US
Mailing Address - Phone:302-737-6049
Mailing Address - Fax:
Practice Address - Street 1:4600 NEW LINDEN HILL RD
Practice Address - Street 2:SUITE 202
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-2953
Practice Address - Country:US
Practice Address - Phone:302-995-7073
Practice Address - Fax:302-995-9103
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL10011709363LW0102X
DELK0000102367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Not Answered367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEP74729Medicare UPIN
010755P04Medicare ID - Type Unspecified