NPI 1417227679 · live from the CMS NPI Registry
Heather Young Agnew, C.P.N.P
Nurse Practitioner, Pediatrics in Richmond, VA. National Provider Identifier 1417227679, active.
NPI record
| NPI | 1417227679 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1250 E Marshall St, Pediatrics, Richmond, VA 23298 |
| Practice phone | 804-628-7337 |
| Mailing address | Po Box 91734, Richmond, VA 23291 |
| Enumerated | January 5, 2012 |
| Last updated | May 30, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 0024169580 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.