Provider Demographics
NPI:1104315779
Name:MUSI, MAUREEN ACHA (FNP)
Entity type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:ACHA
Last Name:MUSI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7815 STOVALL CT
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-4330
Mailing Address - Country:US
Mailing Address - Phone:301-828-7546
Mailing Address - Fax:
Practice Address - Street 1:7815 STOVALL CT
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-4330
Practice Address - Country:US
Practice Address - Phone:301-828-7546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-09
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024176077363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily