Doctor Name: | MARGARET ROSE MERSEREAU |
NPI Number: | 1447436852 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN CDE |
License Number: | 309910-1 |
Business Practice Address: | 9425 Dana Ct Clarence Center, NY - 140329335 |
Business Phone Number: | 7166015891 |
Business Fax Number: | |
Mailing Address: | 9425 Dana Ct, CLARENCE CENTER |
State: | NY |
Postal Code: | 140329335 |
Phone Number: | 7166015891 |
Fax Number: | |
NPI Enumeration Date: | 01/16/2008 |
NPI Last Update Date: | 01/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WD0400X |
License Number: | 309910-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Diabetes Educator |
Taxonomy Definition: |