Cervisi, Joan Mary
Cervisi, Joan Mary is an individual health care provider with primary practice located at 4545 Cordata Pkwy , Bellingham WA 98226-7123. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Cervisi, Joan Mary can be contacted via phone (360) 738-2200.Contact Information
Primary practice address
4545 Cordata Pkwy
Bellingham WA 98226-7123
Phone: (360) 738-2200
Fax: (360) 752-5679
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 283976 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP 60101612 | Washington |
Profile Details
| NPI number | 1073656708 |
|---|---|
| LBN Legal business name | Cervisi, Joan Mary |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Sep 22nd, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073656708 | NPPES |
| Washington | MEDICAID | 1073656708 | |
| Washington | Other | 0051CE | |
| Washington | Other | 0261213 |
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