Mylene Abutin Agnir, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024169349 Issued in VA

Practice address

4501 N Witchduck Rd Ste F
Virginia Beach, VA 23455

Phone

(757) 518-8810

Fax

(757) 518-8825

NPI assigned

Apr 7, 2011

Last updated

Nov 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Parkway Family Practice PC

  • Clinic/Center
  • Virginia Beach, VA
  • NPI 1992989560
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1265722532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3649 STORM BIRD LOOP",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234532258",
            "telephone_number": "757-368-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 N WITCHDUCK RD STE F",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23455",
            "telephone_number": "757-518-8810",
            "fax_number": "757-518-8825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 John Paul Jones Cir",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237082111",
            "country_code": "US",
            "telephone_number": "757-953-0379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGNIR",
        "first_name": "MYLENE",
        "middle_name": "ABUTIN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-07",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024169349",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "VA",
            "license": "0001160317",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Agene, B. PHARM
• David Lawrence Agey, PA-C
• Haidr Agha, M.D.
• Diana N Agnetti, LPC, DSS
• Patrick S. Agnew, DPM
• Gabrielle Agola
• John C. Agola, MD
• Carin Marie Aguiar, PHARMD
• Aguilar & Associates Inc
• Carla Linda Aguilar, LCSW

• Family Nurse Practitioner in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.