NPI 1033853155 · live from the CMS NPI Registry
Agenacare Aesthetics, PLLC
Nurse Practitioner in Roanoke, VA. National Provider Identifier 1033853155, active.
NPI record
| NPI | 1033853155 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 2727 Electric Rd, Roanoke, VA 24018 |
| Practice phone | 540-529-5692 |
| Enumerated | April 25, 2022 |
| Last updated | April 27, 2022 |
| Authorized official | Whitney Pugh, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.