Individual
MATILDA BOCKARIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-PMHNP
Contact information
Practice address
101 ELLIOTT AVE W BAY AVEW, SEATTLE, WA 98119-4236
(206) 407-6912
Mailing address
100 N HOWARD ST STE W, SPOKANE, WA 99201-0508
(973) 874-8409
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95020263
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61304829
WA
Other
Enumeration date
04/27/2022
Last updated
03/21/2023
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