Individual
LISA J NUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
226 N 2ND ST, LA CRESCENT, MN 55947-1111
(507) 895-6610
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R1236242
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
658023800
—
MN
Enumeration date
11/21/2006
Last updated
05/12/2016
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