Individual
AMY L CUTSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1300 SW SAINT LUCIE WEST BLVD, PORT SAINT LUCIE, FL 34986-2109
(219) 464-2141
Mailing address
11405 PLATTNER DR, MOKENA, IL 60448-9231
(219) 333-6983
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11034607
FL
363LF0000X
Family Nurse Practitioner
71011990A
IN
Other
Enumeration date
01/14/2022
Last updated
03/28/2025
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