Provider Demographics
NPI:1366544967
Name:KAMINSKA, AGATA HELENA (APRN, BC)
Entity type:Individual
Prefix:MRS
First Name:AGATA
Middle Name:HELENA
Last Name:KAMINSKA
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 W 9TH AVE STE B
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-1202
Mailing Address - Country:US
Mailing Address - Phone:844-853-0236
Mailing Address - Fax:484-468-1412
Practice Address - Street 1:1005 W 9TH AVE STE B
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1202
Practice Address - Country:US
Practice Address - Phone:844-853-0236
Practice Address - Fax:484-468-1412
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007113363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health