Healthcare Provider Details

I. General information

NPI: 1396752739
Provider Name (Legal Business Name): LORRAINE LYNN MERCIER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 SW ARCHER RD
GAINESVILLE FL
32608-1135
US

IV. Provider business mailing address

519 SW 129TH TER
NEWBERRY FL
32669-2786
US

V. Phone/Fax

Practice location:
  • Phone: 352-376-1611
  • Fax: 352-379-4155
Mailing address:
  • Phone: 352-494-9254
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberARNP2089732
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: