MS. HOLLIS L MERTENS NP NPI 1699726448

NPI Information

NPI: 1699726448
Provider Name: MS. HOLLIS L MERTENS, NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
3000 NEW BERN AVE
3RD FLOOR, WAKE MED FACULTY PHYSICIANS NEONATOLOGY
RALEIGH, NC
ZIP 27610
Phone: (919) 350-8105
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MS. Hollis L Mertens, NP is a pediatrics nurse practitioner in Raleigh, NC. MS. Hollis L Mertens, NP NPI is 1699726448. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3000 NEW BERN AVE
3RD FLOOR, WAKE MED FACULTY PHYSICIANS NEONATOLOGY
RALEIGH, NC
ZIP 27610-231
Phone: (919) 350-8105

The NPI 1699726448 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 3/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	139605	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	007906261Q	OTHER		HUMANA
2	41178300	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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