Provider Demographics
NPI:1366897100
Name:MERCER, CECILIA (RN)
Entity type:Individual
Prefix:MRS
First Name:CECILIA
Middle Name:
Last Name:MERCER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 HOWELL TERRACE PL
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-5722
Mailing Address - Country:US
Mailing Address - Phone:415-990-3223
Mailing Address - Fax:
Practice Address - Street 1:1004 HOWELL TERRACE PL
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-5722
Practice Address - Country:US
Practice Address - Phone:415-990-3223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-29
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA846713163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health