Individual provider · Type 1 NPI
Mary Beth Luttrell, FNP
Family Nurse Practitioner · San Angelo, TX
NPI number
1487096665
Active
Practice location
1610S Chadbourne St
San Angelo, TX 76903-8510
Fax (325) 659-8534
Mailing address
2029W Beauregard Ave
San Angelo, TX 76901-3812
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 684668 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1487096665
Mary Beth Luttrell, FNP's National Provider Identifier is 1487096665, issued on Jul 29, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Angelo, TX. The record was last updated on Jul 27, 2015.