Individual provider · Type 1 NPI
Loverly Glaze Pelayo-Pugh
Gerontology Nurse Practitioner · Annandale, VA
NPI number
1508337403
Active
Practice location
3289 Woodburn Rd Ste 320
Annandale, VA 22003-7354
Fax (571) 308-1843
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 0017145514 (VA) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1508337403
Loverly Glaze Pelayo-Pugh's National Provider Identifier is 1508337403, issued on Dec 17, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Annandale, VA. The record was last updated on Sep 10, 2024.