Individual
MAIRA LUETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
5249 E TERRACE DR, MADISON, WI 53718-8339
(608) 265-1295
Mailing address
2986 BOSSHARD DR, FITCHBURG, WI 53711-5855
(469) 544-9596
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
176316-030
WI
163WH0200X
Home Health Registered Nurse
176316-030
WI
363L00000X
Nurse Practitioner
Primary
8893-33
WI
Other
Enumeration date
03/29/2011
Last updated
01/20/2021
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