| Doctor Name: | MRS. AJI VALAYIL ACHUTHAN |
| NPI Number: | 1023489309 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 9241888 |
| Business Practice Address: | 801 Highway 466 Ste 101 Lady Lake, FL - 321593925 |
| Business Phone Number: | 3526337659 |
| Business Fax Number: | 3526337694 |
| Mailing Address: | 801 Highway 466 Ste 101, LADY LAKE |
| State: | FL |
| Postal Code: | 321593925 |
| Phone Number: | 3526337659 |
| Fax Number: | |
| NPI Enumeration Date: | 10/13/2015 |
| NPI Last Update Date: | 03/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 9241888 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |