IndividualActive
Gary Mersereau, BSN, RN
NPI 1114542065 · Emergency Registered Nurse · Centralia, WA
Provider details
- NPI number
- 1114542065
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Credential
- BSN, RN
- Sex
- Male
- Sole proprietor
- No
- License
- RN60383846 (WA)
Specialties & taxonomies
Nursing Service Providers
Practice location
914 S Scheuber Rd
Centralia, WA 98531-9027
Phone: (360) 330-8785
Approximate (ZIP-level) locationGet directions
Mailing address
815 Wayne Dr
Centralia, WA 98531-9024
Registry dates
- Enumerated
- 2020-06-16
- Last updated
- 2020-06-16
- Certified
- 2020-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.