Bouanane-Smith, Mariam Sophia

Bouanane-Smith, Mariam Sophia is an individual health care provider with primary practice located at 301 Goode Way Ste 206 , Portsmouth VA 23704-2266. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Bouanane-Smith, Mariam Sophia can be contacted via phone (757) 704-4747.

Contact Information

Primary practice address
301 Goode Way Ste 206 Portsmouth VA 23704-2266
Phone: (757) 704-4747
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024187257 Virginia

Profile Details

NPI number 1053024026
LBN Legal business name Bouanane-Smith, Mariam Sophia
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2023
Last updated Jun 2nd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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