Individual provider · Type 1 NPI
Penelope Elizabeth Lutz, APRN, A-GNP-C
Adult Health Nurse Practitioner · Salem, OR
NPI number
1679228431
Active
Practice location
610 Hawthorne Ave SE Ste 250
Salem, OR 97301-5436
Mailing address
2155 Dalke Ridge Dr NW
Salem, OR 97304-4830
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 202201833NP-PP (OR) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1679228431
Penelope Elizabeth Lutz, APRN, A-GNP-C's National Provider Identifier is 1679228431, issued on Feb 19, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Salem, OR. The record was last updated on Feb 19, 2022.