Organization
BRIDGEWATER PSYCHIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTIN SMITH PMHNP-BC (OWNER)
(804) 234-3693
Entity
Organization
Contact information
Practice address
1346 OLD BRIDGE RD STE 201, WOODBRIDGE, VA 22192-2742
(571) 233-3693
Mailing address
7902 TYSONS ONE PL UNIT 2613, TYSONS, VA 22102-5239
(571) 233-3693
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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