Doctor Name: | ESTHER M MERVIL |
NPI Number: | 1023397510 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 04741 |
Business Practice Address: | 471 Barnum Ave Bridgeport, CT - 066082409 |
Business Phone Number: | 2033336864 |
Business Fax Number: | 2033320376 |
Mailing Address: | 471 Barnum Ave, BRIDGEPORT |
State: | CT |
Postal Code: | 066082409 |
Phone Number: | 2033336864 |
Fax Number: | 2033320376 |
NPI Enumeration Date: | 08/15/2011 |
NPI Last Update Date: | 01/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 04741 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |