Luthi, Randi Amanda

Luthi, Randi Amanda is an individual health care provider with primary practice located at 555 E Broadway Ave Ste 229 , Jackson WY 83001-8640. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Luthi, Randi Amanda can be contacted via phone (307) 739-7665.

Contact Information

Primary practice address
555 E Broadway Ave Ste 229 Jackson WY 83001-8640
Phone: (307) 739-7665
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA731 Wyoming

Profile Details

NPI number 1134630064
LBN Legal business name Luthi, Randi Amanda
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2017
Last updated Jun 10th, 2022 - about 3 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 1134630064 NPPES
Wyoming MEDICAID 1134630064
Wyoming MEDICAID 1134630064
Wyoming Other W31153

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