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MR. RUDOLFO SANTOS AGUSTIN JR. FNP-BC
NPI 1114708138
Nurse Practitioner - Family in Suffolk, VA

Active since October 06, 2023
2800 GODWIN BLVD, SUFFOLK, VA 23434(757) 934-4815 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Rudolfo Santos Agustin Jr. Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RUDOLFO SANTOS AGUSTIN JR. FNP-BC (NPI 1114708138) is an individual family provider in Suffolk, Virginia, licensed in Virginia (0024188387) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1114708138
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. RUDOLFO SANTOS AGUSTIN JR.Credential: FNP-BC
Location Address2800 GODWIN BLVDSuffolk, VA 23434-8038
Mailing Address4820 Templar DrPortsmouth, VA 23703-3934
Phone(757) 934-4815
Sole ProprietorNo
Enumeration DateOctober 6, 2023
NPPES CertifiedOctober 6, 2023
✔ NPI 1114708138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024188387
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 0001279793 (VA)
2800 GODWIN BLVD, Suffolk, VA 23434
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTNEY WARREN CURLE DNP, RN, AGCNS-BC
Clinical Nurse Specialist (Gerontology)
2800 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 934-4172
SENTARA MEDICAL GROUP
Hospitalist
2800 GODWIN BLVD, 1ST FLR
SUFFOLK, VA 23434
Suffolk City (757) 934-4821
MR. JOHN DAVID WAEGERLE CRNA-P
Nurse Anesthetist, Certified Registered
2800 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 934-4000
MAVOLYN JONES HURT RN
Registered Nurse
2800 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 934-4588
SENTARA HOSPITALS
Psychiatric Unit
2800 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 934-4751
DR. DEMETRIA YVETTE AUSTIN M.D.
Internal Medicine
2800 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 967-8622
MRS. MEGAN SKILLEN ALEKSA MS, RD
Dietitian, Registered
2800 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 934-4793
CHELSIE WILLIAMS CSA
Specialist/Technologist, Other (Surgical Assistant)
2800 GODWIN BLVD
SUFFOLK, VA 23434
Suffolk City (757) 934-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rudolfo Agustin's NPI number?

The NPI number for Rudolfo Agustin is 1114708138. It was assigned to this individual provider in the NPPES registry on October 6, 2023.

Where is Rudolfo Agustin located?

Rudolfo Agustin practices at 2800 Godwin Blvd, Suffolk, VA 23434. The listed phone number is (757) 934-4815.

What is Rudolfo Agustin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Rudolfo Agustin was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.