Individual
AGATHA VERONICA BREW-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1409 HANOVER LN, VAN ALSTYNE, TX 75495-7091
(718) 598-3906
Mailing address
1409 HANOVER LN, VAN ALSTYNE, TX 75495-7091
(718) 598-3906
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1133287
TX
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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