MS. SUSAN MARY AGUILERA (NPI# 1376882365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376882365 |
| Entity Type | Individual |
| Full Name | MS. SUSAN MARY AGUILERA |
| Other Name | MS. SUSAN MARY BRESLIN AGUILERA |
| Credential | ARNP |
| Practice Address |
11458 Kings Hwy King George VA 22485-4200 |
| Mailing Address |
6702 Godwin Dr Spotsylvania VA 22553-7616 |
| Practice Telephone | 5407752284 |
| Mailing Telephone | 3059923349 |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024174614 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP1862942 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1968 Se 23rd Rd, Homestead, FL 330352075 | 3059923349 |
| Street Address |
11458 KINGS HWY |
| City | KING GEORGE |
| State | VA |
| Zip Code | 22485-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376867960 | Eileen Jennifer Rogers Graham | Nurse Practitioner | 11458 Kings Hwy, King George, VA 22485-4200 | 2010-03-25 |
| 1376152033 | Holly Blum | Nurse Practitioner | 11458 Kings Hwy, King George, VA 22485-4200 | 2020-07-29 |
| 1447882071 | Arleeyah Washington | Nurse Practitioner | 11458 Kings Hwy, King George, VA 22485-4200 | 2020-02-11 |
| 1740745918 | Ann-marie Fortin | Nurse Practitioner | 11458 Kings Hwy, King George, VA 22485-4200 | 2019-02-01 |
| 1295234912 | Emily Kristen Taylor | Registered Nurse | 11458 Kings Hwy, King George, VA 22485-4200 | 2018-02-08 |
| 1740791706 | Celestina Amlalo | Nurse Practitioner | 11458 Kings Hwy, King George, VA 22485-4200 | 2017-10-18 |
| 1578091880 | Afua Ofosuhene | Nurse Practitioner | 11458 Kings Hwy, King George, VA 22485-4200 | 2017-05-31 |
| 1447707237 | Deborah A Hawley | Nurse Practitioner | 11458 Kings Hwy, King George, VA 22485-4200 | 2016-09-08 |
| 1104233899 | Sara Ortu | Nurse Practitioner | 11458 Kings Hwy, King George, VA 22485-4200 | 2014-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528699675 | Philicia J King | Nurse Practitioner | 16463 Va-206, King George, VA 22485 | 2020-01-28 |
| 1811492994 | Jason J Wheeler | Psychologist | King George High School, 10100 Foxes Way, King George, VA 22485 | 2018-03-29 |
| 1649668690 | Access Eye Centers, PC | Optometrist | 7961 Kings Hwy., King George, VA 22485 | 2014-12-29 |
| 1568808277 | Alice Ann Pallotti | Massage Therapist | 9305 King's Hwy, Suite A, King George, VA 22485 | 2013-05-21 |
| 1679876296 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 11458 Kings Highway, King George, VA 22485 | 2010-12-21 |
| 1962679506 | Kathleen Ann Fitzsimmons | Counselor | 5506 Payne Dr, King George, VA 22485 | 2008-05-13 |
| 1275574279 | Kristie F Mcdowell | Physician Assistant | 11131 Journal Parkway, King George, VA 22485 | 2006-06-09 |
| 1780675702 | King George Life Care, LLC | Skilled Nursing Facility | 10051 Foxes Way, Box 495, King George, VA 22485 | 2005-10-31 |
| 1881059624 | Jill Bain Wine | Speech-Language Pathologist | 5254 Potomac Dr Ste A, King George, VA 22485 | 2015-12-21 |
| 1245486802 | Roosevelt Dean Jr. | Family Medicine | 11131 Journal Parkway, King George, VA 22485 | 2008-08-14 |
| Find all providers in zip 22485 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528699675 | Philicia J King | Nurse Practitioner | 16463 Va-206, King George, VA 22485 | 2020-01-28 |
| 1376867960 | Eileen Jennifer Rogers Graham | Nurse Practitioner | 11458 Kings Hwy, King George, VA 22485-4200 | 2010-03-25 |
| 1477153708 | Margaret Windland | Nurse Practitioner | 7967 Kings Hwy, King George, VA 22485-7075 | 2020-10-27 |
| 1376152033 | Holly Blum | Nurse Practitioner | 11458 Kings Hwy, King George, VA 22485-4200 | 2020-07-29 |
| 1447882071 | Arleeyah Washington | Nurse Practitioner | 11458 Kings Hwy, King George, VA 22485-4200 | 2020-02-11 |
| 1740745918 | Ann-marie Fortin | Nurse Practitioner | 11458 Kings Hwy, King George, VA 22485-4200 | 2019-02-01 |
| 1235644006 | Keesha Dawn Lloyd | Nurse Practitioner | 11131 Journal Pkwy, King George, VA 22485-3468 | 2017-12-02 |
| 1740791706 | Celestina Amlalo | Nurse Practitioner | 11458 Kings Hwy, King George, VA 22485-4200 | 2017-10-18 |
| 1578091880 | Afua Ofosuhene | Nurse Practitioner | 11458 Kings Hwy, King George, VA 22485-4200 | 2017-05-31 |
| 1447707237 | Deborah A Hawley | Nurse Practitioner | 11458 Kings Hwy, King George, VA 22485-4200 | 2016-09-08 |
| Find all providers in KING GEORGE | ||||
| City | KING GEORGE |
| Zip Code | 22485 |
Please comment or provide details below to improve the information on MS. SUSAN MARY AGUILERA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.