Healthcare Provider Details

I. General information

NPI: 1619894268
Provider Name (Legal Business Name): AFRODITA AGUILAR NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3309 CUMMINGS HWY STE 110
CHATTANOOGA TN
37419-2438
US

IV. Provider business mailing address

3237 GLEASON DR
CHATTANOOGA TN
37412-1392
US

V. Phone/Fax

Practice location:
  • Phone: 423-933-2575
  • Fax:
Mailing address:
  • Phone: 706-618-4170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number42246
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: