Individual provider · Type 1 NPI

Gary John Clinton Mersereau Sr., BSN, RN

Emergency Registered Nurse · Centralia, WA

NPI number 1114542065 Active

About NPI 1114542065

Gary John Clinton Mersereau Sr., BSN, RN's National Provider Identifier is 1114542065, issued on Jun 16, 2020. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Centralia, WA. The record was last updated on Jun 16, 2020.