Provider Demographics
NPI:1215772637
Name:KAMAU, MERCY W (PHD, FNP-BC, MSN)
Entity type:Individual
Prefix:DR
First Name:MERCY
Middle Name:W
Last Name:KAMAU
Suffix:
Gender:
Credentials:PHD, FNP-BC, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 TRESCOTT ST STE 7
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-3265
Mailing Address - Country:US
Mailing Address - Phone:781-205-0504
Mailing Address - Fax:781-649-9602
Practice Address - Street 1:23 TRESCOTT ST
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-3265
Practice Address - Country:US
Practice Address - Phone:781-205-0504
Practice Address - Fax:781-649-9602
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-27
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN280783163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse