MRS. PATRICIA ANN LUETKEMEIER NURSE PRACTITIONER NPI 1376547836

NPI Information

NPI: 1376547836
Provider Name: MRS. PATRICIA ANN LUETKEMEIER, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
211 S CRAPO ST
STE L
MT PLEASANT, MI
ZIP 48858
Phone: (989) 772-1213
Get Directions

MRS. Patricia Ann Luetkemeier, NURSE PRACTITIONER is an adult health nurse practitioner in Mt Pleasant, MI. MRS. Patricia Ann Luetkemeier, NURSE PRACTITIONER NPI is 1376547836. 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:

211 S CRAPO ST
STE L
MT PLEASANT, MI
ZIP 48858-961
Phone: (989) 772-1213
Fax: (989) 772-7147

The NPI 1376547836 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/11/2005 and was last updated on 2/15/2008.

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	363LA2200X	Nurse Practitioner	Adult Health	4704232202	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	N89090002	MEDICARE PIN	MICHIGAN
2	4998504	MEDICAID	MICHIGAN
3	5008754770	OTHER	MICHIGAN	BCBSM

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: 5/5/2024

NPI Synchronization or Removal

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