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Individual

MISS ATHINA MARIE LUTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
7330 POWELL RD, WILDWOOD, FL 34785-4230
(352) 286-5456
Mailing address
7330 POWELL RD, WILDWOOD, FL 34785-4230
(352) 286-5456

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN9570988
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11038811
FL

Other

Enumeration date
02/24/2025
Last updated
04/17/2025
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