Mrs. Amanda Rebecca Lucke
Nurse Practitioner Nurse Practitioner - Family Medicine
11501 Cumberland Rd Ste 500
Fishers
, Indiana 46037-7010
Mrs. Amanda Rebecca Lucke
Nurse Practitioner Nurse Practitioner - Family Medicine
11501 Cumberland Rd Ste 500
Fishers
, Indiana 46037-7010
(828) 350-2174
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Mrs. Amanda Rebecca Lucke
- Po Box 603725
- Charlotte, NC
- Zip : 28260-3725
- Fax : (828) 350-2174
- Phone : (828) 575-2625
Second Address
- Mrs. Amanda Rebecca Lucke
- 11501 Cumberland Rd Ste 500
- Fishers, IN
- Zip : 46037-7010
- Fax : (317) 863-9333
- Phone : (317) 863-9300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71002639A | IN |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 71002639A | IN |
National Provider Identifier
| NPI | 1003083684 |
|---|---|
| Provider Name | Mrs. Amanda Rebecca Lucke |
| First Address | Charlotte, NC 28260-3725 |
| Second Address | Fishers, IN 46037-7010 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/05/2008 |
| Last Update Date | 30/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200921940 | (05) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.