Individual
MS. PAMELA V LUTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
21601 76TH AVE W, EDMONDS, WA 98026-7507
(253) 426-4604
(253) 426-4601
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30005363
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0265402
STATE L&I
WA
01
—
134680
L AND I PROVIDER NUMBER
WA
05
—
1386693232
—
WA
Enumeration date
05/09/2006
Last updated
10/13/2020
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