NPI 1669745592 · live from the CMS NPI Registry
Mikeal Freedom Mercedes, RNFA
Registered Nurse, Registered Nurse First Assistant in South Portland, ME. National Provider Identifier 1669745592, active.
NPI record
| NPI | 1669745592 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Registered Nurse First Assistant 163WR0006X |
| Practice location | 16 Memory Ln, South Portland, ME 04106 |
| Practice phone | 207-632-9706 |
| Enumerated | February 23, 2012 |
| Last updated | February 23, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Registered Nurse First Assistant primary | 163WR0006X | RN46450 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.