Individual
AIMEE GWYN MAMICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, MSN, RN
Contact information
Practice address
831 12TH AVE, LONGVIEW, WA 98632-2403
(360) 998-2349
(360) 998-2887
Mailing address
1057 12TH AVE, LONGVIEW, WA 98632-2509
(360) 998-2349
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61680020
WA
Other
Enumeration date
07/18/2025
Last updated
12/02/2025
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