Individual
MS. VICTORIA SEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
37 SUNSET INN RD, LAFAYETTE, NJ 07848
(888) 494-0032
Mailing address
8700 MANCHACA RD, STE 601-602, AUSTIN, TX 78748-5371
(512) 535-3777
(512) 765-9153
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00768900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366976581
—
PA
Enumeration date
04/13/2017
Last updated
04/25/2019
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