Agustin, Rudolfo Santos

Agustin, Rudolfo Santos is an individual health care provider with primary practice located at 2800 Godwin Blvd , Suffolk VA 23434-8038. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Agustin, Rudolfo Santos can be contacted via phone (757) 934-4815.

Contact Information

Primary practice address
2800 Godwin Blvd Suffolk VA 23434-8038
Phone: (757) 934-4815
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 0001279793 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024188387 Virginia

Profile Details

NPI number 1114708138
LBN Legal business name Agustin, Rudolfo Santos
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2023
Last updated Oct 6th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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