Provider Demographics
NPI:1730368119
Name:MERCER, MARGARET L
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:L
Last Name:MERCER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:851 E WESTPOINT DR STE 301
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-7183
Mailing Address - Country:US
Mailing Address - Phone:907-357-3761
Mailing Address - Fax:907-357-3751
Practice Address - Street 1:851 E WESTPOINT DR STE 301
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-7183
Practice Address - Country:US
Practice Address - Phone:907-357-3761
Practice Address - Fax:907-357-3751
Is Sole Proprietor?:No
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator