MARIAM SOPHIA BOUANANE-SMITH

PORTSMOUTH, VA
NPI1053024026
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA  0024187257)
Enumeration Date2023-01-04
Last Update Date2023-06-02
Business Address
MARIAM SOPHIA BOUANANE-SMITH PMHNP-BC
301 GOODE WAY STE 206
PORTSMOUTH, VA 23704-2266
Phone number: 757-704-4747
Mailing Address
MARIAM SOPHIA BOUANANE-SMITH PMHNP-BC
301 GOODE WAY STE 206
PORTSMOUTH, VA 23704-2266
Phone number: 757-704-4747