Individual
LUANN ETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
6150 OAK TREE BLVD, SUITE 200, INDEPENDENCE, OH 44131-6917
(800) 897-9177
(800) 470-8713
Mailing address
6149 N WAYNE RD, WESTLAND, MI 48185-7128
(734) 728-2130
(734) 728-2626
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704155261
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4583018
—
MI
Enumeration date
10/11/2006
Last updated
10/27/2015
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