Individual
JOAN MARY CERVISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4545 CORDATA PKWY, BELLINGHAM, WA 98226-7123
(360) 738-2200
(360) 752-5679
Mailing address
PO BOX 5096, BELLINGHAM, WA 98227-5096
(360) 738-2200
(360) 752-5679
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
283976
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP 60101612
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0051CE
REGENCE
WA
01
—
0261213
L&I AND CRIME VICTIMS
WA
05
—
1073656708
—
WA
Enumeration date
02/14/2007
Last updated
09/22/2010
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