Provider Demographics
NPI:1497630974
Name:NOUVELLE PLASTIC SURGERY PLLC
Entity type:Organization
Organization Name:NOUVELLE PLASTIC SURGERY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:YIKUAN
Authorized Official - Last Name:XU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:267-210-5071
Mailing Address - Street 1:329 PHILLIP AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-4461
Mailing Address - Country:US
Mailing Address - Phone:757-997-7877
Mailing Address - Fax:833-673-0444
Practice Address - Street 1:329 PHILLIP AVE STE 102
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-4461
Practice Address - Country:US
Practice Address - Phone:757-997-7877
Practice Address - Fax:833-673-0444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty