Lutterman, Miranda K

Lutterman, Miranda K is an sole proprietor health care provider with primary practice located at 11660 Round Lake Blvd Nw , Coon Rapids MN 55433-2638. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Lutterman, Miranda K can be contacted via phone (763) 767-3350.

Contact Information

Primary practice address
11660 Round Lake Blvd Nw Coon Rapids MN 55433-2638
Phone: (763) 767-3350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 10413 Minnesota

Profile Details

NPI number 1083391700
LBN Legal business name Lutterman, Miranda K
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 4th, 2023
Last updated Jul 4th, 2023 - 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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