Mercedes, Joann

Mercedes, Joann is an sole proprietor health care provider with primary practice located at 3415 Bainbridge Ave , Bronx NY 10467-2403. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Mercedes, Joann can be contacted via phone (718) 741-2450.

Contact Information

Primary practice address
3415 Bainbridge Ave Bronx NY 10467-2403
Phone: (718) 741-2450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 618865-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F382480-1 New York

Profile Details

NPI number 1174917926
LBN Legal business name Mercedes, Joann
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2015
Last updated Mar 19th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174917926 NPPES
New York Other F382480-1 PEDIATRIC NURSE PRACTITIONER LICENSE
New York Other 618865-1 PEDIATRIC NURSE PRACTITIONER LICENSE

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