Individual
EMMANUEL MATHERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 S STADIUM WAY STE 100, TACOMA, WA 98402-4802
(206) 551-8392
Mailing address
240 S STADIUM WAY STE 100, TACOMA, WA 98402-4802
(206) 551-8392
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61674858
WA
Other
Enumeration date
04/09/2025
Last updated
11/15/2025
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