Individual
NWAMAKA LARVINE EMERUEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2512 E EVERGREEN BLVD, VANCOUVER, WA 98661-4323
(972) 503-4109
(972) 449-0500
Mailing address
402 W WHEATLAND RD STE 140, DUNCANVILLE, TX 75116-4628
(972) 503-4109
(972) 449-0500
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP136592
TX
363LP2300X
Primary Care Nurse Practitioner
AP136592
TX
Other
Enumeration date
02/15/2018
Last updated
03/22/2022
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