MEDICARE: CRISTINA MERCADO

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	363LF0000X	Family Nurse Practitioner	1834633	WI

General Provider Information

NPI Number	:	1992632004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRISTINA MERCADO

Provider Business Mailing Address
First Line	:	2355 S 28TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53215-2925
Country	:	US
Telephone Number	:	414-241-4464
Fax Number	:

Provider Business Practice Location Address
First Line	:	2355 S 28TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53215-2925
Country	:	US
Telephone Number	:	414-241-4464
Fax Number	:

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

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

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Directions to “ CRISTINA MERCADO ” Practice Location

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