JOAN MARY CERVISI ARNP NPI 1073656708

NPI Information

  • NPI: 1073656708
  • Provider Name: JOAN MARY CERVISI, ARNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 4545 CORDATA PKWY
    BELLINGHAM, WA
    ZIP 98226
  • Phone: (360) 738-2200

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NPI Details

Joan Mary Cervisi, ARNP is a pediatrics nurse practitioner in Bellingham, WA. Joan Mary Cervisi, ARNP NPI is 1073656708. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4545 CORDATA PKWY
BELLINGHAM, WA
ZIP 98226-123
Phone: (360) 738-2200
Fax: (360) 752-5679

The enumeration date for this NPI number is 2/14/2007 and was last updated on 9/22/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatrics283976CALIFORNIANo
2363LP0200XNurse PractitionerPediatricsAP 60101612WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10261213OTHERWASHINGTONL&I AND CRIME VICTIMS
20051CEOTHERWASHINGTONREGENCE
31073656708MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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