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NPI Code Detail

MEDICARE: MRS. ABBY MARIE MERCADO A.P.R.N.

MEDICARE: MRS. ABBY MARIE MERCADO A.P.R.N.
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 Practitioner76115KS

General Provider Information

NPI Number : 1669807103
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ABBY MARIE MERCADO A.P.R.N.
Provider Business Mailing Address
First Line : 1947 N FOUNDERS CIR
Second Line :
City : WICHITA
State : KS
Zip : 67206-3548
Country : US
Telephone Number : 316-613-4640
Fax Number : 316-631-1617
Provider Business Practice Location Address
First Line : 1947 N FOUNDERS CIR
Second Line :
City : WICHITA
State : KS
Zip : 67206-3548
Country : US
Telephone Number : 316-613-4640
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2013
Last Update Date : 03/17/2026

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