Blake Alan Luebbehusen, MSN, RN, NP-C Valid NPI
Individual provider · Family Nurse Practitioner · Elkhart, IN
- NPI
- 1154925907
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- 71010668A (IN)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2020-11-23
- Last updated
- 2021-03-30
Practice location
500 Arcade Ave Ste 210
Elkhart, IN 46514-2485
(574) 389-5656