Mertens, Hollis L

Mertens, Hollis L is an individual health care provider with primary practice located at 3000 New Bern Ave 3Rd Floor, Wake Med Faculty Physicians Neonatology, Raleigh NC 27610-1231. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mertens, Hollis L can be contacted via phone (919) 350-8105.

Contact Information

Primary practice address
3000 New Bern Ave 3Rd Floor, Wake Med Faculty Physicians Neonatology Raleigh NC 27610-1231
Phone: (919) 350-8105
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 139605 Wisconsin

Profile Details

NPI number 1699726448
LBN Legal business name Mertens, Hollis L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Mar 9th, 2021 - about 5 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 1699726448 NPPES
Other 007906261Q HUMANA
MEDICAID 41178300 HUMANA

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