Leana Elizabeth Mercurio, PNP-PC
Individual provider Active NPI Pediatric Nurse Practitioner · Philadelphia, PA
NPI 1184479255 · NPPES record last updated Apr 22, 2024
Key facts
- NPI
- 1184479255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- SP029475 (PA)
- Practice address
- 3401 Civic Center Blvd
Philadelphia, PA 19104-4319 - Phone
- (180) 087-9246
- NPI assigned
- Apr 22, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP029475 | PA | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP029475 | PA | |
| Pediatric Nurse Practitioner | 363LP0200X | SP029475 | PA | Yes |
Addresses
Primary practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Mailing address
500 N 18TH St Apt 507
Philadelphia, PA 19130-3951
Phone (973) 303-0910
Other providers in Philadelphia, PA
- Lena Mercho
- Elise Mercier
- Ian Mercier
- Elaina Rose Mercurio
- Juliana Mercurio
- Thomas C Mercurio
- Mercurius Home Care
- Carlene Mercury
- Mercy Catholic Medical Center of Southeastern PA
- Mercy Catholic Medical Center of Southeastern PA
All providers in Philadelphia, PA · Pediatric Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.