Provider Demographics
NPI:1881061471
Name:LUEDEMAN, AMIEE LYNN (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MRS
First Name:AMIEE
Middle Name:LYNN
Last Name:LUEDEMAN
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:MISS
Other - First Name:AMIEE
Other - Middle Name:LYNN
Other - Last Name:WITTENBURG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1026 A AVE NE
Mailing Address - Street 2:ST. LUKE'S HOSPITAL UNITY POINT
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-5036
Mailing Address - Country:US
Mailing Address - Phone:319-369-7211
Mailing Address - Fax:319-286-4655
Practice Address - Street 1:1026 A AVE NE
Practice Address - Street 2:ST. LUKE'S HOSPITAL
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-5036
Practice Address - Country:US
Practice Address - Phone:319-369-7211
Practice Address - Fax:319-286-4655
Is Sole Proprietor?:No
Enumeration Date:2015-08-31
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAH119140363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner