Provider Demographics
NPI:1861367930
Name:MERCADO, ERICK DAMIAN (APRN, RN)
Entity type:Individual
Prefix:MR
First Name:ERICK
Middle Name:DAMIAN
Last Name:MERCADO
Suffix:
Gender:M
Credentials:APRN, RN
Other - Prefix:
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Mailing Address - Street 1:27 HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360-4622
Mailing Address - Country:US
Mailing Address - Phone:860-917-2281
Mailing Address - Fax:860-917-2281
Practice Address - Street 1:950 CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516-2770
Practice Address - Country:US
Practice Address - Phone:203-932-5711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-08
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT14713363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care