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NPI Code Detail

MEDICARE: COURTNEY MARIE MERCIL FNP-BC

MEDICARE: COURTNEY MARIE MERCIL FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerR48737ND

General Provider Information

NPI Number : 1275310187
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY MARIE MERCIL FNP-BC
Provider Business Mailing Address
First Line : 3610 S WASHINGTON ST
Second Line :
City : GRAND FORKS
State : ND
Zip : 58201-5766
Country : US
Telephone Number : 218-779-6716
Fax Number :
Provider Business Practice Location Address
First Line : 3610 S WASHINGTON ST
Second Line :
City : GRAND FORKS
State : ND
Zip : 58201-5766
Country : US
Telephone Number : 218-779-6716
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2023
Last Update Date : 09/13/2023

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Directions to “ COURTNEY MARIE MERCIL FNP-BC” Practice Location

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