Organization
AGENACARE AESTHETICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY PUGH FNP-BC (OWNER)
(540) 529-5692
Entity
Organization
Contact information
Practice address
2727 ELECTRIC RD, ROANOKE, VA 24018-3540
(540) 529-5692
Mailing address
2727 ELECTRIC RD, ROANOKE, VA 24018-3540
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
04/27/2022
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