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MICHELLE J LUTCHEN ARNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1154370849

Individual Registrant:
 MICHELLE J LUTCHEN ARNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
710 WELCH CSWY  MADEIRA BEACH, FL 33708-2814 US
Tel: 844-362-2329  Fax: --

Contact information for business:
710 WELCH CSWY  MADEIRA BEACH, FL 33708-2814 US
Tel: --  Fax: --

Registration Information:
NPI: 1154370849
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
FLARNP9386469

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DEA LICENSEML1318814WI01
013912500FL05




HEALTH CARE JOBS FL - Page 1



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