Healthcare Provider Details

I. General information

NPI: 1720990302
Provider Name (Legal Business Name): MERCY NURSING SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16611 48TH AVE W UNIT D3
EDMONDS WA
98026-4871
US

IV. Provider business mailing address

16611 48TH AVE W UNIT D3
EDMONDS WA
98026-4871
US

V. Phone/Fax

Practice location:
  • Phone: 206-519-2521
  • Fax:
Mailing address:
  • Phone: 206-519-2521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: LETERA DABA GELGLA
Title or Position: OWNER
Credential: RN
Phone: 206-519-2521