Individual
CHERYL MERCURIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 330-9044
(360) 669-0287
Mailing address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 330-9044
(360) 669-0287
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60578746
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2048237
—
WA
05
—
500707398
—
OR
Enumeration date
12/19/2013
Last updated
06/04/2020
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