Mercado, Kelli Ann
Mercado, Kelli Ann is an individual health care provider with primary practice located at 2700 N 140Th Ave Ste 107 , Goodyear AZ 85395-2439. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Mercado, Kelli Ann can be contacted via phone (623) 535-8770.Contact Information
Primary practice address
2700 N 140Th Ave Ste 107
Goodyear AZ 85395-2439
Phone: (623) 535-8770
Fax: (623) 535-8771
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3060 | Arizona |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 3060 | Arizona |
Profile Details
NPI number | 1255426870 |
---|---|
LBN Legal business name | Mercado, Kelli Ann |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 3rd, 2006 |
Last updated | Jan 16th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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