Healthcare Provider Details

I. General information

NPI: 1306838776
Provider Name (Legal Business Name): NANCI MARGUERITE MERCER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2005
Last Update Date: 11/05/2024
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 OLD RIVER RD STE 200
BAKERSFIELD CA
93311-9505
US

IV. Provider business mailing address

500 OLD RIVER RD STE 200
BAKERSFIELD CA
93311-9505
US

V. Phone/Fax

Practice location:
  • Phone: 661-663-6429
  • Fax: 661-663-6041
Mailing address:
  • Phone: 661-663-6429
  • Fax: 661-663-6041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number4301066407
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number35081106
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number230237
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number036104864
License Number StateIL
# 5
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number2024000940
License Number StateMO
# 6
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberC168745
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: