Angela Jean Luckhardt, RN, CNS
Nurse Practitioner in Rochester, MN. Individual provider (NPI-1).
NPI number1013225614
StatusActive
Last updated in NPPESJun 9, 2021
Details
- NPI
- 1013225614
- Entity type
- Individual (NPI-1)
- Name
- Angela Jean Luckhardt
- Credential
- RN, CNS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2010
- Certification date
- Jun 9, 2021
- Last updated
- Jun 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 8118 | MN | Yes |
| 364S00000X | Clinical Nurse Specialist | 47 | MN | |
| 364S00000X | Clinical Nurse Specialist | R167390-2 | MN |
Practice location
200 1st St SwRochester, MN 55905-0001
Phone 507-284-2511
Mailing address
200 1st St SwRochester, MN 55905-0001
Phone 507-284-2511
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