Individual
EMILY MARIE LUITJENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, FNP-BC, PMHNP-BC
Contact information
Practice address
384 3RD ST NE, WAITE PARK, MN 56387-1874
(320) 250-9188
Mailing address
25945 GATEWAY DR, ZIMMERMAN, MN 55398-5300
(763) 856-6900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012010717
MN
Other
Enumeration date
08/08/2012
Last updated
03/26/2025
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