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Amanda K Lutter, NP
Gerontology Nurse Practitioner in Fort Wayne, Indiana
NPI 1912322264

Amanda K Lutter is a Gerontology Nurse Practitioner based in Indianapolis, IN and is specialized in Gerontology. Amanda K Lutter practices in Fort Wayne, IN and has the professional credentials of NP. The NPI Number for Amanda K Lutter is 1912322264 and holds a License No. 71004824A (Indiana).

The current practice location address for Amanda K Lutter is 7411 Hope Dr Ste C, Fort Wayne, IN and can be reached out via phone at 260-234-5400 and via fax at 260-234-5395.

Location: 7411 Hope Dr Ste C, Fort Wayne, IN, 46219-4959
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Provider Profile Details
NPI Number
1912322264
Provider Name
Amanda K Lutter
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
7411 Hope Dr Ste C, Fort Wayne, IN, 46219-4959
Phone Number
260-234-5400
Fax Number
260-234-5395
Provider Enumeration Date
02/24/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201214450 05 IN
IN4866027 01 IN MEDICARE
institution
Provider Business Practice Location Address Details
Address
7411 Hope Dr Ste C
City
State
Zip
46815-5687
Phone Number
260-234-5400
Fax Number
260-234-5395
person
Provider Business Mailing Address Details
Address
7411 Hope Dr Ste C
City
State
Zip
46815-5687
Phone Number
260-234-5400
Fax Number
260-234-5395
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
71004824A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
71004824A (Indiana)
Definition
Definition to come...
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