Stephany Renee Luchtefeld, NP
Nurse Practitioner in Bethalto, IL. Individual provider (NPI-1).
NPI number1124515580
StatusActive
Last updated in NPPESMay 31, 2018
Details
- NPI
- 1124515580
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Stephany Renee Luchtefeld
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2018
- Last updated
- May 31, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2017039611 | MO | Yes |
Other names
- Stephany Renee Williams (Former Name)
Practice location
159 E McArthur DrBethalto, IL 62010
Phone 618-258-7504
Mailing address
200 Corporate BlvdLafayette, LA 70508-3870
Phone 800-893-9698
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All 6 Nurse Practitioner providers in Bethalto · All 98 providers in Bethalto
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