MEDICARE: ANNE MARIELLE MERCADO APRN

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	827267	NV

General Provider Information

NPI Number	:	1346030582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE MARIELLE MERCADO APRN

Provider Business Mailing Address
First Line	:	6841 S EASTERN AVE STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4699
Country	:	US
Telephone Number	:	702-577-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	6817 S EASTERN AVE STE 102
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4684
Country	:	US
Telephone Number	:	702-577-2000
Fax Number	:

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

Provider Enumeration Date	:	05/09/2025
Last Update Date	:	01/07/2026

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