Provider Demographics
NPI:1427693720
Name:NERPIOL, MARY GRACE (RN)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:GRACE
Last Name:NERPIOL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10321 25TH PL SE
Mailing Address - Street 2:
Mailing Address - City:LAKE STEVENS
Mailing Address - State:WA
Mailing Address - Zip Code:98258-5666
Mailing Address - Country:US
Mailing Address - Phone:425-320-6353
Mailing Address - Fax:
Practice Address - Street 1:10321 25TH PL SE
Practice Address - Street 2:
Practice Address - City:LAKE STEVENS
Practice Address - State:WA
Practice Address - Zip Code:98258-5666
Practice Address - Country:US
Practice Address - Phone:425-320-6353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-10
Last Update Date:2019-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60427156163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse