Healthcare Provider Details

I. General information

NPI: 1235063363
Provider Name (Legal Business Name): ERIN LUFFY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 PETER JEFFERSON PKWY STE 130
CHARLOTTESVILLE VA
22911-4624
US

IV. Provider business mailing address

37 HONESDALE RD REAR 2
CARBONDALE PA
18407-1421
US

V. Phone/Fax

Practice location:
  • Phone: 703-782-3082
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: