MEDICARE: NICOLE T MERENA

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	163WP0809X	Adult Psychiatric/Mental Health Registered Nurse	RN701509	PA

General Provider Information

NPI Number	:	1932038601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE T MERENA

Provider Business Mailing Address
First Line	:	246 E EVERGREEN AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19118-2823
Country	:	US
Telephone Number	:	610-568-5931
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 SPRUCE ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-6130
Country	:	US
Telephone Number	:	215-316-5151
Fax Number	:

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

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

Similar Medicare Providers

1912838343 — MINA KHOSRAVIFAR MD
Practice Location Address:

800 SPRUCE ST
PHILADELPHIA, PA
19107-6130

Practice Phone: 215-829-3309
Practice Fax:

1932133907 — SHANE RUCKLE MD
Practice Location Address:

800 SPRUCE ST , 2 CATHCART
PHILADELPHIA, PA
19107-6130

Practice Phone: 215-829-3264
Practice Fax:

1679870653 — AMBER BATOOL DO
Practice Location Address:

800 SPRUCE STREET
PHILADELPHIA, PA
19107-6130

Practice Phone: 215-662-7320
Practice Fax: 215-243-4605

1588713499 — DR. BRYAN A. PUKENAS MD
Practice Location Address:

800 SPRUCE STREET
PHILADELPHIA, PA
19107-6130

Practice Phone: 215-829-3201
Practice Fax: 215-829-5697

1245168467 — ALEXIS MARIE SEERY MD
Practice Location Address:

800 SPRUCE ST
PHILADELPHIA, PA
19107-6130

Practice Phone: 570-862-9448
Practice Fax:

1851399869 — IRA JAY BLEIWEISS MD
Practice Location Address:

800 SPRUCE ST
PHILADELPHIA, PA
19107-6130

Practice Phone: 215-829-3000
Practice Fax: 215-829-7564

Directions to “ NICOLE T MERENA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.