Provider Demographics
NPI:1932972023
Name:WHITWORTH, MERCEDES RANIA (PMHNP)
Entity type:Individual
Prefix:
First Name:MERCEDES
Middle Name:RANIA
Last Name:WHITWORTH
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:784 ALEXANDER COMMONS DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28112-7650
Mailing Address - Country:US
Mailing Address - Phone:412-983-9388
Mailing Address - Fax:704-218-2830
Practice Address - Street 1:784 ALEXANDER COMMONS DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-7650
Practice Address - Country:US
Practice Address - Phone:412-983-9388
Practice Address - Fax:704-218-2830
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-01
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5019334363LP0808X
NC238039363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health