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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RUDOLFO SANTOS AGUSTIN JR., FNP-BC

Active

MR. RUDOLFO SANTOS AGUSTIN JR., FNP-BC is a Family Nurse Practitioner healthcare provider located in SUFFOLK, Virginia. NPI 1114708138 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · SUFFOLK, VA

Registration Details

NPI Number
1114708138
Provider Type
Individual
Gender
Male
NPI Issued
Oct 6, 2023 (2.8137317608987 yrs)
Last Updated
Oct 6, 2023
Licenses
0001279793 (VA)
0024188387 (VA)

Practice Information

Address
2800 GODWIN BLVD
SUFFOLK, VA, 234348038
Browse VA providers · Browse ZIP 23434
Phone
7579344815
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in SUFFOLK, VA

Name Credential NPI
MRS. KATHRYN A POND FNP 1154305795
MRS. UCHE M UMEJEI FNP 1336100809
BARBARA GAYLE SCHIMMING NP 1982668307
MS. SHARON ELAINE BULLARD FNP 1841301793
SUSAN M LUNDGREN FNP 1134201817
WANDA JUNE TYNES-MCCRAY FNP 1619044161
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.