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General NPI Number Information
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NPI Number | 1558225441
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Entity Type | Organization
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Legal Business Name | AEVIA HEALTH & WELLNESS PLLC
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 1121 BRIARCREST DR STE 100A
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City | BRYAN
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State | TX
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Zip | 77802-2500
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Country | US
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Telephone | 979-450-8781
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Fax | 979-314-9002
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Provider Business Mailing Address
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Address Line | 1121 BRIARCREST DR STE 100A
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City | BRYAN
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State | TX
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Zip | 77802-2500
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Country | US
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Telephone | 979-450-8781
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Fax | 979-314-9002
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Authorized Official
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Title or Position | OWNER
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Name | REGINA VILLANUEVA ROBERTSON
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Credential | APRN, A-GNP-C
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Telephone | 979-450-8781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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