Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 339036 | NY |
NPI | 1003218074 |
---|---|
Provider Name | Noelle Luterek |
First Address | Getzville, NY 14068-1205 |
Second Address | Sanborn, NY 14132-9016 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2014 |
Last Update Date | 18/08/2020 |