MEDICARE: DAVID M. MERCER ACNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WW0000X	Wound Care Registered Nurse	2005453106	VA
2	363LA2100X	Acute Care Nurse Practitioner	0024167069	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	254755	OTHER	VA	INSTITUTIONAL REFERRING NO.

General Provider Information

NPI Number	:	1306020920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID M. MERCER ACNP

Provider Business Mailing Address
First Line	:	680 PREDDY CREEK RD
Second Line	:
City	:	BARBOURSVILLE
State	:	VA
Zip	:	22923-2826
Country	:	US
Telephone Number	:	434-882-4950
Fax Number	:	434-284-7839

Provider Business Practice Location Address
First Line	:	680 PREDDY CREEK RD
Second Line	:
City	:	BARBOURSVILLE
State	:	VA
Zip	:	22923-2826
Country	:	US
Telephone Number	:	434-882-4950
Fax Number	:	434-284-7839

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2007
Last Update Date	:	12/15/2023

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