Individual provider · Type 1 NPI

Miranda K. Lutterman, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Coon Rapids, MN

NPI number 1083391700 Active

Practice location

11660 Round Lake Blvd NW
Coon Rapids, MN 55433-2638

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X10413 (MN)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1083391700

Miranda K. Lutterman, PMHNP-BC's National Provider Identifier is 1083391700, issued on Jul 4, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Coon Rapids, MN. The record was last updated on Nov 20, 2025.