Provider Demographics
NPI:1548055775
Name:MERCADEL, ASAJNAE NICHELLE
Entity type:Individual
Prefix:
First Name:ASAJNAE
Middle Name:NICHELLE
Last Name:MERCADEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4806 GANO ST UNIT C
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77009-2277
Mailing Address - Country:US
Mailing Address - Phone:504-609-0230
Mailing Address - Fax:
Practice Address - Street 1:4806 GANO ST UNIT C
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77009-2277
Practice Address - Country:US
Practice Address - Phone:504-609-0230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1194977363LP0808X
WAAP61676554363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health