Individual
LUTHIEN AGUAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 894-3636
Mailing address
232 DEGRAY ST, NORTH HALEDON, NJ 07508-2524
(646) 912-1759
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ15153400
NJ
364SA2100X
Acute Care Clinical Nurse Specialist
26NJ15153400
NJ
Other
Enumeration date
09/25/2024
Last updated
01/13/2026
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