Organization · Type 2 NPI
Cardinal Support LLC
Psychiatric/Mental Health Nurse Practitioner · Vancouver, WA
NPI number
1699312314
Active
Practice location
2512 E Evergreen Blvd
Vancouver, WA 98661-4323
Fax (972) 449-0500
Mailing address
2804 S Lakeview Dr
Cedar Hill, TX 75104-8233
Other practice locations
- 2804 S Lakeview Dr, Cedar Hill, TX 75104-8233 · (972) 503-4109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Clinic/Center | 261Q00000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1699312314
Cardinal Support LLC's National Provider Identifier is 1699312314, issued on Dec 1, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Vancouver, WA. The record was last updated on May 21, 2024.