Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | ARNP1266942 | FL |
N | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP1266942 | FL |
NPI | 1003188236 |
---|---|
Provider Name | Mercedes D Wierman |
First Address | Altamonte Springs, FL 32701-7854 |
Second Address | Altamonte Springs, FL 32701-7854 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2012 |
Last Update Date | 06/04/2018 |