Rudolfo Santos Agustin, FNP-BC Valid NPI
Individual provider · Family Nurse Practitioner · Suffolk, VA
- NPI
- 1114708138
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- 0024188387 (VA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2023-10-06
- Last updated
- 2023-10-06
Practice location
2800 Godwin Blvd
Suffolk, VA 23434-8038
(757) 934-4815