NPI 1265722532 · live from the CMS NPI Registry
Mylene Abutin Agnir, NP-C
Nurse Practitioner, Family in Virginia Beach, VA. National Provider Identifier 1265722532, active.
NPI record
| NPI | 1265722532 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 4501 N Witchduck Rd Ste F, Virginia Beach, VA 23455 |
| Practice phone | 757-518-8810 |
| Mailing address | 3649 Storm Bird Loop, Virginia Beach, VA 23453 |
| Enumerated | April 7, 2011 |
| Last updated | November 25, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 0024169349 (VA) |
| Registered Nurse, Case Management | 163WC0400X | 0001160317 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.