# AGENACARE AESTHETICS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033853155
- **Authorized official:** WHITNEY PUGH FNP-BC (OWNER)
- **Authorized official phone:** (540) 529-5692

## Contact information

- **Practice address:** 2727 ELECTRIC RD, ROANOKE, VA 24018-3540
- **Practice address phone:** (540) 529-5692
- **Mailing address:** 2727 ELECTRIC RD, ROANOKE, VA 24018-3540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2022
- **Last updated:** 04/27/2022