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1790733624 NPI number — MARIA J MERCIER NP

NPI Number: 1790733624
Health Care Provider/Practitioner: MARIA J MERCIER NP

Information about “1790733624” NPI (MARIA J MERCIER NP) exists in 1790733624 in HTML format HTML  |  1790733624 in plain Text format TXT  |  1790733624 in PDF (Portable Document Format) PDF  |  1790733624 in an XML format XML  formats.

NPI Number : 1790733624 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1790733624",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MERCIER",
    "FirstName": "MARIA",
    "MiddleName": "J",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "NP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "9777 S YOSEMITE ST STE 110",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LONE TREE",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80124-3115",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "907-375-5200",
    "MailingAddressFaxNumber": "907-375-5203",
    "FirstLinePracticeLocationAddress": "9777 S YOSEMITE ST STE 110",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LONE TREE",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80124-3115",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "907-375-5200",
    "PracticeLocationAddressFaxNumber": "907-375-5203",
    "EnumerationDate": "05/04/2006",
    "LastUpdateDate": "07/16/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "56244",
          "LicenseNumberStateCode": "WY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "APRN11014597",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "14191416-4405",
          "LicenseNumberStateCode": "UT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "200612",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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