Individual
LUTHER ACHU NJWEIPI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
13088 BOURNE PL, BRISTOW, VA 20136-1000
(571) 361-8720
Mailing address
13088 BOURNE PL, BRISTOW, VA 20136-1000
(571) 361-8720
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022001257
VA
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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