Most Relevant Information
Provider Data
| NPI Number: | 1003475013 |
| Provider Name: | AMANDA LUTHI |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP2300X |
| Specialty: | Nurse Practitioner |
| License Number: | 6632 |
Most Important Dates
| Enumeration Date: | 06/12/2019 |
| Last Updated: | 07/01/2024 |
Provider Practice Location
1815 WISCONSIN AVE
BENSON
MN
562151653
Practice Location Phone/Fax
| Phone: | 3208434232 |
| Fax: |
Provider Mailing Location
1815 WISCONSIN AVE
BENSON
MN
562151653
Provider Mailing Phone/Fax
| Phone: | 3208434232 |
| Fax: |