Loverly Glaze Pelayo-Pugh
Nurse Practitioner, Gerontology in Annandale, VA. Individual provider (NPI-1).
NPI number1508337403
StatusActive
Last updated in NPPESSep 10, 2024
Details
- NPI
- 1508337403
- Entity type
- Individual (NPI-1)
- Name
- Loverly Glaze Pelayo-Pugh
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 17, 2018
- Certification date
- Sep 10, 2024
- Last updated
- Sep 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 0017145514 | VA | Yes |
Practice location
3289 Woodburn Rd Ste 320Annandale, VA 22003-7354
Phone 571-308-1830 · Fax 571-308-1843
Mailing address
3289 Woodburn Rd Ste 320Annandale, VA 22003-7354
Phone 571-308-1830 · Fax 571-308-1843
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