Healthcare Provider Details

I. General information

NPI: 1396453957
Provider Name (Legal Business Name): CAROLINE MERCURE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2022
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 LINCOLN WAY STE 101
WHITE OAK PA
15131-1642
US

IV. Provider business mailing address

509 N PENNSYLVANIA AVE
GREENSBURG PA
15601-1884
US

V. Phone/Fax

Practice location:
  • Phone: 412-678-8806
  • Fax: 412-678-3780
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: