Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 9829 | NV |
Y | 207VG0400X | Gynecologist | 9829 | NV |
NPI | 1659462208 |
---|---|
Provider Name | Elizabeth A Hutson |
First Address | Reno, NV 89509-6160 |
Second Address | Reno, NV 89509-6160 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 21/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002016855 | (05) | NV |
DT6227 | RAILROAD MEDICARE (01) | NV |
G50356 | (02) | NV |
P01166079 | RAILROAD MEDICARE (01) | NV |
V105782 | (02) | NV |
V105783 | (02) | NV |