Organization · Type 2 NPI
Cardinal Support Wa LLC
Psychiatric/Mental Health Nurse Practitioner · Spokane, WA
NPI number
1114860103
Active
Practice location
100 N Howard St
Spokane, WA 99201-0508
Mailing address
2804 S Lakeview Dr
Cedar Hill, TX 75104-8233
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1114860103
Cardinal Support Wa LLC's National Provider Identifier is 1114860103, issued on Apr 13, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Spokane, WA. The record was last updated on Apr 24, 2026.