Mercurio, Cheryl

Mercurio, Cheryl is an individual health care provider with primary practice located at 2428 W Reynolds Ave , Centralia WA 98531-4554. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Mercurio, Cheryl can be contacted via phone (360) 330-9044.

Contact Information

Primary practice address
2428 W Reynolds Ave Centralia WA 98531-4554
Phone: (360) 330-9044
Fax: (360) 669-0287
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP60578746 Washington

Profile Details

NPI number 1588085443
LBN Legal business name Mercurio, Cheryl
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2013
Last updated Jun 4th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588085443 NPPES
Washington MEDICAID 2048237
Washington MEDICAID 500707398

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