Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GARY JOHN CLINTON MERSEREAU SR., BSN, RN
ActiveMR. GARY JOHN CLINTON MERSEREAU SR., BSN, RN is a Emergency Nurse healthcare provider located in CENTRALIA, Washington. NPI 1114542065 is currently active in the NPPES registry. Verify at CMS.
Emergency Nurse · CENTRALIA, WA
Registration Details
- NPI Number
- 1114542065
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2020 (6.1569359100976 yrs)
- Last Updated
- Jun 16, 2020
- License
-
RN60383846 (WA)
Practice Information
- Address
-
914 S SCHEUBER RDCENTRALIA, WA, 985319027Browse WA providers · Browse ZIP 98531
- Phone
- 3603308785
- Primary Specialty
-
Emergency Nurse
163WE0003X
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.