Individual
PHUONG LUU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
606 E FOURTH ST, UNIT 204, BOSTON, MA 02127
(316) 214-5081
Mailing address
606 E FOURTH ST, UNIT 204, BOSTON, MA 02127
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2291934
MA
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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