Provider Demographics
NPI:1689053969
Name:BARCLAY-CERVI, NELLIE KAY (LPN)
Entity type:Individual
Prefix:
First Name:NELLIE
Middle Name:KAY
Last Name:BARCLAY-CERVI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1617 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:AMBRIDGE
Mailing Address - State:PA
Mailing Address - Zip Code:15003-2239
Mailing Address - Country:US
Mailing Address - Phone:412-522-0466
Mailing Address - Fax:
Practice Address - Street 1:1617 CHURCH ST
Practice Address - Street 2:
Practice Address - City:AMBRIDGE
Practice Address - State:PA
Practice Address - Zip Code:15003-2239
Practice Address - Country:US
Practice Address - Phone:412-522-0466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-20
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN283176164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse