Organization · Type 2 NPI
Aqua Psych PLLC
Psychiatric/Mental Health Nurse Practitioner · Vancouver, WA
NPI number
1194556407
Active
Practice location
4400 NE 77th Ave Ste 275
Vancouver, WA 98662-6857
Mailing address
18702 NE 109th Ave
Battle Ground, WA 98604-6115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1194556407
Aqua Psych PLLC's National Provider Identifier is 1194556407, issued on Aug 8, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Vancouver, WA. The record was last updated on Aug 8, 2024.