Provider Demographics
NPI:1780310342
Name:SWIERCEK, MERCEDES (NP)
Entity type:Individual
Prefix:
First Name:MERCEDES
Middle Name:
Last Name:SWIERCEK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3611 E I ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98404-3017
Mailing Address - Country:US
Mailing Address - Phone:206-902-8204
Mailing Address - Fax:
Practice Address - Street 1:1812 S MILDRED ST STE H
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98465-1634
Practice Address - Country:US
Practice Address - Phone:253-301-5270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61328542363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily