Provider Demographics
NPI:1437513561
Name:LUTKINS, ERIKA LINSEY (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:LINSEY
Last Name:LUTKINS
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:LINSEY
Other - Last Name:WAMBAUGH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:250 CETRONIA RD STE 301
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-9168
Mailing Address - Country:US
Mailing Address - Phone:610-437-2378
Mailing Address - Fax:610-820-9983
Practice Address - Street 1:250 CETRONIA RD STE 301
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-9168
Practice Address - Country:US
Practice Address - Phone:610-437-2378
Practice Address - Fax:610-820-9983
Is Sole Proprietor?:No
Enumeration Date:2016-04-05
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP015930363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103153730Medicaid
PA1217345OtherGATEWAY HEALTH
PA30272588OtherAMERIHEALTH CARITAS
PA5531784OtherAETNA
PA773926OtherMEDICARE PTAN