NPI 1023489309 · live from the CMS NPI Registry
Aji Valayil Achuthan, ARNP
Nurse Practitioner, Family in Tavares, FL. National Provider Identifier 1023489309, active.
NPI record
| NPI | 1023489309 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 1741 David Walker Dr, Tavares, FL 32778 |
| Practice phone | 352-742-3578 |
| Mailing address | 3090 Caruso Ct Ste 50, Orlando, FL 32806 |
| Enumerated | October 13, 2015 |
| Last updated | March 17, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | ARNP9241888 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.