Provider Demographics
NPI:1528400652
Name:ACCURSIO, JOSEPH BRENT (NP)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:BRENT
Last Name:ACCURSIO
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:BRENT
Other - Middle Name:
Other - Last Name:ACCURSIO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:1410 N MULLAN RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-4045
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1410 N MULLAN RD STE 100
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-4045
Practice Address - Country:US
Practice Address - Phone:509-252-0071
Practice Address - Fax:509-703-7475
Is Sole Proprietor?:No
Enumeration Date:2013-07-17
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMF0713007363LF0000X
WAAP60556935363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily