Provider Demographics
NPI:1316515174
Name:DASI, MERCY ENIH (APRN)
Entity type:Individual
Prefix:
First Name:MERCY
Middle Name:ENIH
Last Name:DASI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:MERCY
Other - Middle Name:DASI
Other - Last Name:ATANGCHO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMHNP-BC
Mailing Address - Street 1:7506 BERKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-1307
Mailing Address - Country:US
Mailing Address - Phone:404-216-2922
Mailing Address - Fax:
Practice Address - Street 1:2439EAST LAFAYETTE AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21213
Practice Address - Country:US
Practice Address - Phone:410-530-6612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR203574363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health