Mercedes Marie Alice
Nurse Practitioner - Psychiatric/Mental Health
18208 66th Ave Ne Ste 201
Kenmore
, Washington 98028
Mercedes Marie Alice
Nurse Practitioner - Psychiatric/Mental Health
18208 66th Ave Ne Ste 201
Kenmore
, Washington 98028
(425) 814-2783
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Mercedes Marie Alice
- 18208 66th Ave Ne Ste 201
- Kenmore, WA
- Zip : 98028-7949
- Fax : (425) 814-2783
- Phone : (425) 814-2045
Second Address
- Mercedes Marie Alice
- 18208 66th Ave Ne Ste 201
- Kenmore, WA
- Zip : 98028
- Fax : (425) 814-2783
- Phone : (425) 814-2045
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What is Mercedes Marie Alice ’s gender?
Is Mercedes Marie Alice a sole practitioner?
Is Mercedes Marie Alice accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP60425457 | WA |
National Provider Identifier
| NPI | 1033475348 |
|---|---|
| Provider Name | Mercedes Marie Alice |
| First Address | Kenmore, WA 98028-7949 |
| Second Address | Kenmore, WA 98028 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2012 |
| Last Update Date | 02/04/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.