Provider Demographics
NPI:1063956498
Name:ALBRECHTSEN, LLUBIA SUSANA
Entity type:Individual
Prefix:
First Name:LLUBIA
Middle Name:SUSANA
Last Name:ALBRECHTSEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LLUBIA
Other - Middle Name:SUSANA
Other - Last Name:CORELLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:228 7TH ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-4306
Mailing Address - Country:US
Mailing Address - Phone:855-910-3278
Mailing Address - Fax:
Practice Address - Street 1:228 7TH ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-4306
Practice Address - Country:US
Practice Address - Phone:855-910-3278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-04
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024174162363LF0000X
DC1020395363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily