Most Relevant Information
Provider Data
| NPI Number: | 1003436858 |
| Provider Name: | ALEXA MERCADO |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 336883 |
Most Important Dates
| Enumeration Date: | 04/22/2020 |
| Last Updated: | 04/22/2020 |
Provider Practice Location
2250 WEHRLE DR STE 1
WILLIAMSVILLE
NY
142217034
Practice Location Phone/Fax
| Phone: | 7162762123 |
| Fax: |
Provider Mailing Location
2250 WEHRLE DR STE 1
WILLIAMSVILLE
NY
142217034
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |