Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIA THERESA ISAAC-MERCER, NDTR
Active Sole Proprietor136A00000X · NEWPORT NEWS, VA
Registration Details
- NPI Number
- 1144841750
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 5, 2020 (6.0028373777109 yrs)
- Last Updated
- May 5, 2020
- Licenses
-
897242 (VA)897242 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
311 RIDGEVIEW DRNEWPORT NEWS, VA, 236081290Browse VA providers · Browse ZIP 23608
- Phone
- 7865469909
- Primary Specialty
-
136A00000X
136A00000X
- Additional Specialty
- 136A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.