Provider Demographics
NPI:1982284782
Name:CERVANTES, NICOLAS (INTERPRETER)
Entity Type:Individual
Prefix:
First Name:NICOLAS
Middle Name:
Last Name:CERVANTES
Suffix:
Gender:M
Credentials:INTERPRETER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E COLLEGE WAY STE A
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-5429
Mailing Address - Country:US
Mailing Address - Phone:360-420-7969
Mailing Address - Fax:
Practice Address - Street 1:300 E COLLEGE WAY STE A
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-5429
Practice Address - Country:US
Practice Address - Phone:360-420-7969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-14
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603-535-014171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter