1. Home
  2. Directory
  3. Virginia
  4. Beach
  5. Nurse Practitioner
  6. NPI Profile

AGELESS SKIN REJUVENATION LLC
NPI 1164133716
Nurse Practitioner - Family in Virginia Beach, VA

Active since December 05, 2022
3352 PRINCESS ANNE RD, VIRGINIA BEACH, VA 23456(757) 707-1231 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ageless Skin Rejuvenation Llc NPPES

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

AGELESS SKIN REJUVENATION LLC (NPI 1164133716) is a healthcare organization registered as a family in Virginia Beach, Virginia and active in the NPI registry since December 2022. The organization lists Rachel Anne King, Owner, as its authorized official.

NPPES Registry Identity

NPI1164133716
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameAGELESS SKIN REJUVENATION LLC
Location Address3352 PRINCESS ANNE RDVirginia Beach, VA 23456-2608
Mailing Address3352 Princess Anne Rd Ste 909Virginia Beach, VA 23456-2608 · (757) 707-1231
Phone(757) 707-1231
Organization SubpartNo
Authorized OfficialRachel Anne KingOwner · (757) 707-1231
Enumeration DateDecember 5, 2022
NPPES CertifiedDecember 5, 2022
✔ NPI 1164133716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
3352 PRINCESS ANNE RD, Virginia Beach, VA 23456
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Ageless Skin Rejuvenation LLC's NPI number?

The NPI number for Ageless Skin Rejuvenation LLC is 1164133716. It was assigned to this organization in the NPPES registry on December 5, 2022.

Where is Ageless Skin Rejuvenation LLC located?

Ageless Skin Rejuvenation LLC is located at 3352 Princess Anne Rd, Virginia Beach, VA 23456. The listed phone number is (757) 707-1231.

What is Ageless Skin Rejuvenation LLC'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 Ageless Skin Rejuvenation LLC was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.