Provider Demographics
NPI:1578260527
Name:HARTKE, LUCIANA (APRN)
Entity Type:Individual
Prefix:
First Name:LUCIANA
Middle Name:
Last Name:HARTKE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:LUCIANA
Other - Middle Name:
Other - Last Name:LEONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5335 MCINTOSH VIS
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IN
Mailing Address - Zip Code:47001-1728
Mailing Address - Country:US
Mailing Address - Phone:859-609-3740
Mailing Address - Fax:
Practice Address - Street 1:5335 MCINTOSH VIS
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IN
Practice Address - Zip Code:47001-1728
Practice Address - Country:US
Practice Address - Phone:859-609-3740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-10
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3019025363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care