Individual provider · Type 1 NPI
Eteri Agyeyeva
Adult Health Nurse Practitioner · Ponte Vedra, FL
NPI number
1154712461
Active
Practice location
351 Town Plaza Ave Ste 202
Ponte Vedra, FL 32081-5179
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 9426901 (FL) |
Adult Health Nurse Practitioner: Definition to come...
Other adult health nurse practitioner providers in Ponte Vedra
About NPI 1154712461
Eteri Agyeyeva's National Provider Identifier is 1154712461, issued on Feb 9, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Ponte Vedra, FL. The record was last updated on Jul 17, 2025.