Jan Vander Luitgaren, RN is a
Registered Nurse - Nutrition Support based in Bargersville, Indiana. Jan Vander Luitgaren is licensed to practice in Indiana (license number 28133402A) and her current practice location is
5897 Shallow Water Ln, Bargersville, Indiana. She can be reached at her office (for appointments etc.) via phone at
(317) 410-0319.
NPI number for Jan Vander Luitgaren is 1427409135 and her current mailing address is 5897 Shallow Water Ln, Bargersville, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427409135.
Provider's Profile
Full Name | Jan Vander Luitgaren |
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Gender | Female |
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Speciality | Registered Nurse - Nutrition Support |
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Location | 5897 Shallow Water Ln, Bargersville, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1427409135
- Provider Enumeration Date: 06/23/2016
- Last Update Date: 06/23/2016
Medical Identifiers
Medical identifiers for Jan Vander Luitgaren such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427409135 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WN1003X | Registered Nurse - Nutrition Support | 28133402A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jan Vander Luitgaren is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jan Vander Luitgaren, RN 5897 Shallow Water Ln, Bargersville, IN 46106-8521 Ph: (317) 410-0319 | Jan Vander Luitgaren, RN 5897 Shallow Water Ln, Bargersville, IN 46106-8521 Ph: (317) 410-0319 |
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