Individual
LILIAN AGBONZEBETA AZENABOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
207 WINNBROOK ST, STAUNTON, VA 24401-9204
(540) 255-9729
(434) 404-4746
Mailing address
207 WINNBROOK ST, STAUNTON, VA 24401-9204
(540) 255-9729
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024191400
VA
Other
Enumeration date
03/24/2025
Last updated
12/15/2025
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