Liliana I Aguilar-Pagan, AGACNP-BC

Individual provider Active NPI Nurse Practitioner · Atlanta, GA

NPI 1982202099 · NPPES record last updated Dec 31, 2020

Key facts

NPI
1982202099
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
RN185580 (GA)
Practice address
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone
(404) 605-5000
NPI assigned
Oct 12, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN85580GAMDAcute Care Nurse Practitioner
RN185580GAMDStudent in an Organized Health Care Education/Training Program

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN185580 GA Yes
Acute Care Nurse Practitioner 363LA2100X RN85580 GA
Critical Care Medicine Nurse Practitioner 363LC0200X RN185580 GA
Student in an Organized Health Care Education/Training Program 390200000X RN185580 GA
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1968 Peachtree Rd NW
Atlanta, GA 30309-1281

Mailing address

PO Box 102321
Atlanta, GA 30368-2321

Other providers in Atlanta, GA

All providers in Atlanta, GA · Nurse Practitioner in Georgia

Sources for this page

Verify at the official NPI Registry.