Individual ProviderNicolas Mercure-CorriveauStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address600 North Wolfe Street, Pathology 401, Baltimore, MD 21287(410) 955-3980PECOS EnrollmentBased on the most recent information from CMS, provider Nicolas Mercure-Corriveau does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1225797905Provider TypeIndividualFull NameMercure-Corriveau, NicolasTitleDr.CredentialMDGenderMaleSole ProprietorYesEnumeration Date12/10/2021Last Updated12/10/2021Contact InformationPractice LocationPractice Address600 North Wolfe Street, Pathology 401, Baltimore, MD 21287Phone(410) 955-3980FaxUnlisted FaxMailing LocationMailing Address600 North Wolfe Street, Pathology 401, Baltimore, MD 21287Phone(410) 955-3980FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer