MR. SAMUEL LUEDECKE RN MSN FNP-BC NPI 1043762149

NPI Information

NPI: 1043762149
Provider Name: MR. SAMUEL LUEDECKE, RN, MSN, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3001 S JACKSON ST
SAN ANGELO, TX
ZIP 76904
Phone: (325) 245-6203
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MR. Samuel Luedecke, RN, MSN, FNP-BC is a family nurse practitioner in San Angelo, TX with 8 years of experience. MR. Samuel Luedecke, RN, MSN, FNP-BC NPI is 1043762149. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3001 S JACKSON ST
SAN ANGELO, TX
ZIP 76904-129
Phone: (325) 245-6203
Fax: (325) 223-6377

The NPI 1043762149 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 10/25/2016 and was last updated on 10/25/2016.

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
1	363LF0000X	Nurse Practitioner	Family	AP132124	TEXAS	Yes

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: 4/28/2024

NPI Synchronization or Removal

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