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MR. GARY JOHN CLINTON MERSEREAU SR. BSN, RN
NPI 1114542065
Registered Nurse - Emergency in Centralia, WA

Active since June 16, 2020
914 S SCHEUBER RD, CENTRALIA, WA 98531(360) 330-8785 Get Directions Write a Review

NPPES record last updated: June 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Gary John Clinton Mersereau Sr. Bsn, Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GARY JOHN CLINTON MERSEREAU SR. BSN, RN (NPI 1114542065) is an individual emergency provider in Centralia, Washington, licensed in Washington (RN60383846) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1114542065
Entity TypeIndividualMale
Primary Taxonomy163WE0003X
Provider Legal NameMR. GARY JOHN CLINTON MERSEREAU SR.Credential: BSN, RN
Location Address914 S SCHEUBER RDCentralia, WA 98531-9027
Mailing Address815 Wayne DrCentralia, WA 98531-9024
Phone(360) 330-8785
Sole ProprietorNo
Enumeration DateJune 16, 2020
NPPES CertifiedJune 16, 2020
✔ NPI 1114542065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · EmergencyNursing Service Providers
Taxonomy Code163WE0003X
License✔ Licensed in WA · RN60383846
914 S SCHEUBER RD, Centralia, WA 98531
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM ALEXANDER STEVENS MD
Family Medicine
914 S SCHEUBER RD
CENTRALIA, WA 98531
Lewis County (360) 827-8811
STEPHEN WILLIAM ESCOTT
Nurse Anesthetist, Certified Registered
914 S SCHEUBER RD
CENTRALIA, WA 98531
Lewis County (360) 736-2803
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Skilled Nursing Facility
914 S SCHEUBER RD
CENTRALIA, WA 98531
Lewis County (360) 330-8703
DR. DAVID ALLEN DIETRICK PHARM D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
914 S SCHEUBER RD
CENTRALIA, WA 98531
Lewis County (360) 330-8785
JENNIFER REUTER
Physician Assistant
914 S SCHEUBER RD
CENTRALIA, WA 98531
Lewis County (360) 736-2803
PATRICK O'NEILL MD
Emergency Medicine
914 S SCHEUBER RD
CENTRALIA, WA 98531
Lewis County (360) 748-4444
MICHAEL TAYLOR MD
Anesthesiology
914 S SCHEUBER RD
CENTRALIA, WA 98531
Lewis County (360) 736-2803
PROVIDENCE HEALTH & SERVICES WASHINGTON
Anesthesiology
914 S SCHEUBER RD
CENTRALIA, WA 98531
Lewis County (360) 736-2803

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Mersereau's NPI number?

The NPI number for Gary Mersereau is 1114542065. It was assigned to this individual provider in the NPPES registry on June 16, 2020.

Where is Gary Mersereau located?

Gary Mersereau practices at 914 S Scheuber Rd, Centralia, WA 98531. The listed phone number is (360) 330-8785.

What is Gary Mersereau's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Emergency, with taxonomy code 163WE0003X.

When was this NPI record last updated?

The NPPES record for Gary Mersereau was last updated on June 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.