Healthcare Provider Details

I. General information

NPI: 1457262016
Provider Name (Legal Business Name): AESTHETICS BY ALICIA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12462 NC-226
SPRUCE PINE NC
28777
US

IV. Provider business mailing address

100 CHARLIE WOODY MOUNTAIN RD
SPRUCE PINE NC
28777-8645
US

V. Phone/Fax

Practice location:
  • Phone: 828-467-7772
  • Fax:
Mailing address:
  • Phone: 828-467-7772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ALICIA WAYCASTER
Title or Position: OWNER
Credential: FNP-C
Phone: 828-467-7772