Individual
MYLENE ABUTIN AGNIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4501 N WITCHDUCK RD STE F, VIRGINIA BEACH, VA 23455
(757) 518-8810
(757) 518-8825
Mailing address
3649 STORM BIRD LOOP, VIRGINIA BEACH, VA 23453-2258
(757) 368-9709
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
0001160317
VA
363LF0000X
Family Nurse Practitioner
Primary
0024169349
VA
Other
Enumeration date
04/07/2011
Last updated
11/25/2024
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