NPI Code Details Logo

NPI 1710370465

NPI 1710370465 : AIMEE B PFLUGRAD AGACNP-BC : CARTERSVILLE, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1710370465
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    AIMEE B PFLUGRAD AGACNP-BC
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/05/2015
-----------------------------------------------------
    Last Update Date     |    10/26/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3 LEAKE ST STE A 
-----------------------------------------------------
    City                 |    CARTERSVILLE
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30120-3558
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    770-829-0600
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    54 MISSION HILLS DR SW 
-----------------------------------------------------
    City                 |    CARTERSVILLE
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30120-7443
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    770-548-1539
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LA2100X
-----------------------------------------------------
    Taxonomy Name        |    Acute Care Nurse Practitioner
-----------------------------------------------------
    License Number       |    RN186333
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    202D00000X
-----------------------------------------------------
    Taxonomy Name        |    Integrative Medicine Physician
-----------------------------------------------------
    License Number       |    RN186333
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.