Lutter, Amanda K

Lutter, Amanda K is an individual health care provider with primary practice located at 7411 Hope Dr Ste C , Fort Wayne IN 46815-5687. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Lutter, Amanda K can be contacted via phone (260) 234-5400.

Contact Information

Primary practice address
7411 Hope Dr Ste C Fort Wayne IN 46815-5687
Phone: (260) 234-5400
Fax: (260) 234-5395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71004824A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 71004824A Indiana

Profile Details

NPI number 1912322264
LBN Legal business name Lutter, Amanda K
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2014
Last updated Feb 2nd, 2023 - about 2 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 1912322264 NPPES
Indiana MEDICAID 201214450
Indiana Other IN4866027

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