MEDICARE: RICHARD ALAN MERCER RN

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
1	163W00000X	Registered Nurse	RN.525579	OH

General Provider Information

NPI Number	:	1770413023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD ALAN MERCER RN

Provider Business Mailing Address
First Line	:	1302 W GARFIELD RD
Second Line	:
City	:	COLUMBIANA
State	:	OH
Zip	:	44408-9714
Country	:	US
Telephone Number	:	330-651-2517
Fax Number	:

Provider Business Practice Location Address
First Line	:	38720 SALTWELL RD
Second Line	:
City	:	LISBON
State	:	OH
Zip	:	44432-8303
Country	:	US
Telephone Number	:	330-424-9591
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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