AMEN C OTUNBA FNP-C NPI 1043914245

NPI Information

  • NPI: 1043914245
  • Provider Name: AMEN C OTUNBA, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9500 RICHMOND HWY
    LORTON, VA
    ZIP 22079
  • Phone: (571) 800-8915

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NPI Details

Amen C Otunba, FNP-C is a family nurse practitioner in Lorton, VA with 2 years of experience. Amen C Otunba, FNP-C NPI is 1043914245. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9500 RICHMOND HWY
LORTON, VA
ZIP 22079-124
Phone: (571) 800-8915
Fax: (833) 954-5512

The NPI 1043914245 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/30/2023 and was last updated on 7/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily0024186850VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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