Bouanane-Smith, Mariam Sophia
Bouanane-Smith, Mariam Sophia is an individual health care provider with primary practice located at 301 Goode Way Ste 206 , Portsmouth VA 23704-2266. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Bouanane-Smith, Mariam Sophia can be contacted via phone (757) 704-4747.Contact Information
Primary practice address
301 Goode Way Ste 206
Portsmouth VA 23704-2266
Phone: (757) 704-4747
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 0024187257 | Virginia |
Profile Details
| NPI number | 1053024026 |
|---|---|
| LBN Legal business name | Bouanane-Smith, Mariam Sophia |
| Credentials | PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2023 |
| Last updated | Jun 2nd, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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