Luettich, Tammy L

Luettich, Tammy L is an individual health care provider with primary practice located at 12655 Collier Blvd , Naples FL 34116-4005. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Luettich, Tammy L can be contacted via phone (239) 658-3000.

Contact Information

Primary practice address
12655 Collier Blvd Naples FL 34116-4005
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP9170842 Florida

Profile Details

NPI number 1447436134
LBN Legal business name Luettich, Tammy L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2008
Last updated Apr 26th, 2023 - about last year

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 1447436134 NPPES
Florida MEDICAID 308950900

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