Individual
MS. EIRAWEN LUETTGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP, ENP
Contact information
Practice address
1 TITUS PL, WALTON, NY 13856-1457
(607) 865-2100
Mailing address
1705 SE MEADOWBROOK BLVD STE 2, COLLEGE PLACE, WA 99324-1756
(888) 227-3312
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
343678
NY
363LF0000X
Family Nurse Practitioner
56323
NM
363LF0000X
Family Nurse Practitioner
AP60909551
WA
363LF0000X
Family Nurse Practitioner
APN.0994154-NP
CO
Other
Enumeration date
09/20/2018
Last updated
09/18/2023
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