Organization
CARDINAL SUPPORT WA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NWAMAKA LARVINE EMERUEM (OWNER)
(817) 898-7860
Entity
Organization
Contact information
Practice address
100 N HOWARD ST, SPOKANE, WA 99201-0508
(817) 898-7860
Mailing address
2804 S LAKEVIEW DR, CEDAR HILL, TX 75104-8233
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/24/2026
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