Provider Demographics
NPI:1144410408
Name:LUEDKE, JOANN MARY (MSN, ARNP-FNP)
Entity Type:Individual
Prefix:
First Name:JOANN
Middle Name:MARY
Last Name:LUEDKE
Suffix:
Gender:F
Credentials:MSN, ARNP-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8101 W 135TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66223-1111
Mailing Address - Country:US
Mailing Address - Phone:913-541-0230
Mailing Address - Fax:913-492-0154
Practice Address - Street 1:8101 W 135TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66223-1111
Practice Address - Country:US
Practice Address - Phone:913-541-0230
Practice Address - Fax:913-492-0154
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-35048-021163W00000X
KS44431363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse