Organization
WAVES HEALTH CONNECT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIZPAH AMADOS PMHNP (OWNER)
(703) 475-9365
Entity
Organization
Contact information
Practice address
2700 NEABSCO COMMON PL STE 101, WOODBRIDGE, VA 22191-6767
(703) 475-9365
(703) 670-0290
Mailing address
2700 NEABSCO COMMON PL STE 101, WOODBRIDGE, VA 22191-6767
(703) 475-9365
(703) 670-0290
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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