Individual
KERRI LUTJENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
401 W GLYNN DR, PARKSTON, SD 57366-9605
(605) 928-7961
Mailing address
720 W 15TH AVE, MITCHELL, SD 57301-5507
(605) 770-2375
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R032678
SD
363LF0000X
Family Nurse Practitioner
Primary
CP002728
SD
Other
Enumeration date
02/21/2023
Last updated
03/14/2023
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