Agenacare Aesthetics, Pllc

NPI #1033853155 in Roanoke, Virginia

Provider Information

NPI Number: 1033853155
Entity Type: Organization
Organization Name: Agenacare Aesthetics, Pllc
Primary Specialty: Nurse Practitioner
Enumeration Date: Apr 25, 2022
Last Updated: Apr 27, 2022

Practice Location

Address: 2727 ELECTRIC RD
City: Roanoke
State: Virginia
ZIP Code: 24018-3540
Phone: (540) 529-5692

Authorized Official

Name: WHITNEY PUGH, FNP-BC
Title: OWNER
Phone: (540) 529-5692

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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