Individual
MR. SETH MERCURIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
784 14TH AVE, LONGVIEW, WA 98632-2315
(360) 703-6400
(360) 414-1342
Mailing address
1057 12TH AVE, LONGVIEW, WA 98632-2509
(360) 425-9210
(360) 232-8400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60314064
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2031323
—
WA
Enumeration date
10/04/2012
Last updated
04/19/2024
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