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NPI Code Detail

MEDICARE: DR. MERCEDES E. WEIR PHD, CRNA., ARNP

MEDICARE: DR. MERCEDES E. WEIR PHD, CRNA., ARNP
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
1367500000XCertified Registered Nurse AnesthetistTLRN074233PA
2163W00000XRegistered NurseRN3127592FL
3367500000XCertified Registered Nurse AnesthetistAPRN3127592FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972571594
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MERCEDES E. WEIR PHD, CRNA., ARNP
Provider Business Mailing Address
First Line : 7154 N UNIVERSITY DR # 107
Second Line :
City : TAMARAC
State : FL
Zip : 33321-2916
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3476 S UNIVERSITY DR
Second Line :
City : DAVIE
State : FL
Zip : 33328-2000
Country : US
Telephone Number : 954-475-4400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2006
Last Update Date : 05/29/2026

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