Luedtke, Mary

Luedtke, Mary is an individual health care provider with primary practice located at 301 W Homer St , Michigan City IN 46360-4358. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Luedtke, Mary can be contacted via phone (219) 879-8511.

Contact Information

Primary practice address
301 W Homer St Michigan City IN 46360-4358
Phone: (219) 879-8511
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001174A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9278988 Florida

Profile Details

NPI number 1326081894
LBN Legal business name Luedtke, Mary
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Mar 17th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326081894 NPPES
Florida MEDICAID 000302800

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