Provider Demographics
NPI:1689488405
Name:MARIE E MERCURE NURSE PRACTITIONER IN PSYCHIATRY PLLC
Entity type:Organization
Organization Name:MARIE E MERCURE NURSE PRACTITIONER IN PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:MERCURE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:347-356-1734
Mailing Address - Street 1:231 HOLLY AVE
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-5211
Mailing Address - Country:US
Mailing Address - Phone:347-356-1734
Mailing Address - Fax:
Practice Address - Street 1:231 HOLLY AVE
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-5211
Practice Address - Country:US
Practice Address - Phone:347-356-1734
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty