Ma Victoria Aquino Khera, AGPCNP-BC
Nurse Practitioner, Adult Health in Augusta, GA. Individual provider (NPI-1).
NPI number1508301649
StatusActive
Last updated in NPPESDec 28, 2016
Details
- NPI
- 1508301649
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Ma Victoria Aquino Khera
- Credential
- AGPCNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 28, 2016
- Last updated
- Dec 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 243278 | GA | Yes |
| 363LG0600X | Nurse Practitioner, Gerontology | 243278 | GA | |
| 363LP2300X | Nurse Practitioner, Primary Care | 243278 | GA |
Other names
- Ma Victoria Villanueva Aquino (Other Name)
Practice location
2467 Golden Camp RdAugusta, GA 30906-5515
Phone 706-790-4440
Mailing address
608 Burgamy PassGrovetown, GA 30813-5855
Phone 714-624-5631
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All 29 Adult Health Nurse Practitioner providers in Augusta · All 8,576 providers in Augusta
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