Individual
MS. CAITLIN ELIZABETH LUEBCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC, ACNP-C
Contact information
Practice address
5330 E STOP 11 RD, INDIANAPOLIS, IN 46237-6345
(317) 893-1900
(317) 893-1901
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 885-3799
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
71007159A
IN
363LA2200X
Adult Health Nurse Practitioner
71007159A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71007159A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300006642
—
IN
Enumeration date
03/23/2017
Last updated
12/18/2024
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