MEDICARE: AEVIA HEALTH & WELLNESS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner

General Provider Information

NPI Number	:	1558225441
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AEVIA HEALTH & WELLNESS PLLC

Provider Business Mailing Address
First Line	:	1121 BRIARCREST DR STE 100A
Second Line	:
City	:	BRYAN
State	:	TX
Zip	:	77802-2500
Country	:	US
Telephone Number	:	979-450-8781
Fax Number	:	979-314-9002

Provider Business Practice Location Address
First Line	:	1121 BRIARCREST DR STE 100A
Second Line	:
City	:	BRYAN
State	:	TX
Zip	:	77802-2500
Country	:	US
Telephone Number	:	979-450-8781
Fax Number	:	979-314-9002

Authorized Official
Title or Position	:	OWNER
Name	:	REGINA VILLANUEVA ROBERTSON
Credential	:	APRN, A-GNP-C
Telephone Number	:	979-450-8781

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	04/13/2026

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